Individual
EZINNA MADUAKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7913 MANDAN RD, APT. 204, GREENBELT, MD 20770-2819
(202) 766-6386
Mailing address
7913 MANDAN RD, APT. 204, GREENBELT, MD 20770-2819
(202) 766-6386
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA11367
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HHA11367
DOH
MD
Enumeration date
07/03/2015
Last updated
07/03/2015
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