Provider Demographics
NPI:1497088587
Name:ORANU, CHIOMA I
Entity Type:Individual
Prefix:
First Name:CHIOMA
Middle Name:
Last Name:ORANU
Suffix:I
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17807 OLIVE CT
Mailing Address - Street 2:
Mailing Address - City:CARSON
Mailing Address - State:CA
Mailing Address - Zip Code:90746-7440
Mailing Address - Country:US
Mailing Address - Phone:310-894-1554
Mailing Address - Fax:
Practice Address - Street 1:17807 OLIVE CT
Practice Address - Street 2:
Practice Address - City:CARSON
Practice Address - State:CA
Practice Address - Zip Code:90746-7440
Practice Address - Country:US
Practice Address - Phone:310-894-1554
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-08
Last Update Date:2009-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAVN225213164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse