Most Relevant Information
Provider Data
| NPI Number: | 1003555350 |
| Provider Name: | CHUKWUKA ANNEDOZIE IKE |
| Entity Type: | Individual |
| Taxonomy Code: | 172A00000X |
| Specialty: | Driver |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/02/2022 |
| Last Updated: | 06/02/2022 |
Provider Practice Location
919 CRESTMONT PLACE LOOP
MISSOURI CITY
TX
774891450
Practice Location Phone/Fax
| Phone: | 8326335699 |
| Fax: |
Provider Mailing Location
919 CRESTMONT PLACE LOOP
MISSOURI CITY
TX
774891450
Provider Mailing Phone/Fax
| Phone: | 8326335699 |
| Fax: |