Healthcare Provider Details

I. General information

NPI: 1659295699
Provider Name (Legal Business Name): AIR WATER LAND LOGISTIC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2026
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

140 HARVARD AVE UNIT: 744
CLAREMONT CA
91711-0744
US

IV. Provider business mailing address

140 HARVARD AVE UNIT 744
CLAREMONT CA
91711-7132
US

V. Phone/Fax

Practice location:
  • Phone: 909-569-9679
  • Fax:
Mailing address:
  • Phone: 909-569-9679
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code132700000X
TaxonomyDietary Manager
License Number
License Number State

VIII. Authorized Official

Name: UCHECHITTEE NKWOCHA
Title or Position: DIRECTOR OF OPERATIONS
Credential:
Phone: 909-569-9679