Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | 12715T | CA |
NPI | 1013060615 |
---|---|
Provider Name | Chinyere Juliet Udonsi |
First Address | Bakersfield, CA 93311-9308 |
Second Address | Mission Viejo, CA 92691-6527 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/01/2007 |
Last Update Date | 08/12/2021 |