Organization
INNOVATIVE MEDICAL INSTITUTE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AHUNNA ONUKOGU REGISTERED NURSE (PRESIDENT)
(267) 336-4915
Entity
Organization
Contact information
Practice address
1K FOAL CT, LANCASTER, PA 17602-3443
(267) 336-4915
Mailing address
1K FOAL CT, LANCASTER, PA 17602-3443
(267) 336-4915
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
—
—
Other
Enumeration date
05/20/2022
Last updated
05/20/2022
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