Individual
OMEZIE A MOLOKWU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1602 PINEHURST EST, LAKEHURST, NJ 08733-2414
(848) 459-0525
Mailing address
1602 PINEHURST EST, LAKEHURST, NJ 08733-2414
(848) 459-0525
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ01058700
NJ
Other
Enumeration date
09/24/2020
Last updated
09/24/2020
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