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Individual

MR. CHUKWUEMEKA ANOKWURU NWASURUBA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
7505 HILL BURNE DR, HYATTSVILLE, MD 20785-5869
(240) 505-6268
Mailing address
7505 HILL BURNE DR, HYATTSVILLE, MD 20785-5869
(240) 505-6268

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP42143
MD
164W00000X
Licensed Practical Nurse
LPN1003617
DC

Other

Enumeration date
06/04/2012
Last updated
06/04/2012
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