Individual
JANE IGHALO-EDORO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
R176249
MD
363LP2300X
Primary Care Nurse Practitioner
Primary
RN966809
DC
Other
Enumeration date
06/04/2019
Last updated
06/04/2019
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