Individual
AGAEZI ULOMA UKWUOMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
601 MENAUL BLVD NE UNIT 3303, ALBUQUERQUE, NM 87107-1549
(832) 662-8294
Mailing address
601 MENAUL BLVD NE UNIT 3303, ALBUQUERQUE, NM 87107-1549
(832) 662-8294
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
372600000X
Adult Companion
—
—
373H00000X
Day Training/Habilitation Specialist
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
04/28/2023
Last updated
11/14/2024
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