Healthcare Provider Details

I. General information

NPI: 1316072580
Provider Name (Legal Business Name): JUDE NNANNA NJOKU
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/21/2007
Last Update Date: 08/06/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15095 AMARGOSA RD STE 208
VICTORVILLE CA
92394-1879
US

IV. Provider business mailing address

15095 AMARGOSA RD STE 208
VICTORVILLE CA
92394-1879
US

V. Phone/Fax

Practice location:
  • Phone: 760-245-4695
  • Fax:
Mailing address:
  • Phone: 760-245-4695
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: