Individual
CHISO ORI UKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
10005 OLD COLUMBIA RD STE P170, COLUMBIA, MD 21046-1727
(410) 312-5280
Mailing address
10005 OLD COLUMBIA RD STE P170, COLUMBIA, MD 21046-1727
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0008060
MD
Other
Enumeration date
04/06/2020
Last updated
09/15/2021
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