Okafor, Isioma Tracy

Okafor, Isioma Tracy is an individual health care provider with primary practice located at 14677 Merrill Ave , Fontana CA 92335. She recently has only one registered license in Nursing Service Providers / Licensed Vocational Nurse, which is considered as her primary health care specialty. Okafor, Isioma Tracy can be contacted via phone (951) 943-2348.

Contact Information

Primary practice address
14677 Merrill Ave Fontana CA 92335
Phone: (951) 943-2348
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Vocational Nurse 164X00000X 40618 California

Profile Details

NPI number 1861950941
LBN Legal business name Okafor, Isioma Tracy
Credentials Licensed Visiting Nurse (LVN)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2019
Last updated Mar 7th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861950941 NPPES
California MEDICAID 941735271

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