Individual
BONAVENTURE EZEWUZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1100 LOGGER CT STE H102, RALEIGH, NC 27609-8513
(919) 607-8225
Mailing address
1100 LOGGER CT STE H102, RALEIGH, NC 27609-8513
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HC6039
NC
Other
Enumeration date
03/02/2023
Last updated
03/02/2023
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