Individual
MRS. CHINELO LUCY OKONKWO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3901B MAIN ST STE 101, PHILADELPHIA, PA 19127-2191
(215) 482-0870
Mailing address
3901B MAIN ST STE 101, PHILADELPHIA, PA 19127-2191
(215) 482-0870
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
575079
PA
363LF0000X
Family Nurse Practitioner
Primary
SP023084
PA
Other
Enumeration date
01/12/2021
Last updated
06/04/2021
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