Individual
KENNETH C OKWUNWANNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1900 BATAAN MEMORIAL E, LAS CRUCES, NM 88011-6011
(575) 522-8603
Mailing address
596 PAT CRUZ, EL PASO, TX 79932-4107
(915) 261-9713
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
31267
TX
183500000X
Pharmacist
RP00005662
NM
Other
Enumeration date
09/10/2013
Last updated
09/10/2013
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