Ifeoma Cynthia Emenike, | |
2275 S Main St Ste 201, Corona, CA 92882-5303 | |
(951) 279-8333 | |
Not Available |
Full Name | Ifeoma Cynthia Emenike |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 2275 S Main St Ste 201, Corona, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164832861 | NPI | - | NPPES |
Entity Name | Grow Healthcare Group Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154994846 PECOS PAC ID: 1850774746 Enrollment ID: O20220809004080 |
Mailing Address | Practice Location Address |
---|---|
Ifeoma Cynthia Emenike, 5947 Forest Glen Dr, Fontana, CA 92336-1069 Ph: () - | Ifeoma Cynthia Emenike, 2275 S Main St Ste 201, Corona, CA 92882-5303 Ph: (951) 279-8333 |
Jesse James Tinoco, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2275 S Main St Ste 201, Corona, CA 92882 Phone: 951-279-3222 | |
Cynthia Lemus, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2275 S Main St Ste 201, Corona, CA 92882 Phone: 951-609-5128 | |
Lamont Raynard Williams, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1119 Stone Pine Ln Unit D, Corona, CA 92879 Phone: 916-696-1616 | |
Mr. David Ramon Zermeno, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2275 S Main St, Suite # 201, Corona, CA 92882 Phone: 951-264-8754 Fax: 951-279-8333 | |
Cheyenne Rica Hosseini, M.S.W. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1492 W 6th St Ste J, Corona, CA 92882 Phone: 951-268-9002 | |
Mr. Derron Keith Putnam, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1307 W 6th St # 109, Corona, CA 92882 Phone: 951-279-1333 | |
Meghan Brandt, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2275 S Main St, Ste 201, Corona, CA 92882 Phone: 951-522-9303 |