Provider Demographics
NPI:1942903513
Name:IBEABUCHI, ONYINYECHI
Entity Type:Individual
Prefix:
First Name:ONYINYECHI
Middle Name:
Last Name:IBEABUCHI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:AKIRA
Other - Middle Name:KASUMI
Other - Last Name:KIYOKO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2170 SANDCASTLE WAY
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95833-2394
Mailing Address - Country:US
Mailing Address - Phone:408-598-0733
Mailing Address - Fax:
Practice Address - Street 1:303 LEE ST APT 305
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94610-4390
Practice Address - Country:US
Practice Address - Phone:408-598-0733
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-23
Last Update Date:2023-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula