Individual
PATRICIA NKECHI UBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 CVS DR, WOONSOCKET, RI 02895-6146
(401) 765-1500
Mailing address
4288 RIDGESIDE TER, SNELLVILLE, GA 30039-6833
(678) 559-5692
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN295989
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05709021
—
GA
05
—
057090212
—
GA
Enumeration date
12/26/2020
Last updated
12/26/2020
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