Provider Demographics
NPI:1639912611
Name:CHIJIOKE-CHUKWUMA, CHINONSO BLESSING
Entity type:Individual
Prefix:DR
First Name:CHINONSO
Middle Name:BLESSING
Last Name:CHIJIOKE-CHUKWUMA
Suffix:
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 1:33524 SAND PIPER DR
Mailing Address - Street 2:
Mailing Address - City:ROMULUS
Mailing Address - State:MI
Mailing Address - Zip Code:48174-6401
Mailing Address - Country:US
Mailing Address - Phone:734-394-8186
Mailing Address - Fax:
Practice Address - Street 1:33524 SAND PIPER DR
Practice Address - Street 2:
Practice Address - City:ROMULUS
Practice Address - State:MI
Practice Address - Zip Code:48174-6401
Practice Address - Country:US
Practice Address - Phone:734-394-8186
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-17
Last Update Date:2024-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI0183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist