Individual
AKUVI AKPEDZE DIDI AGBO ATCHON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
650 GRANT ST STE 7, GARY, IN 46404-1551
(219) 882-9900
Mailing address
479 O'HAGAN DR, CROWN POINT, IN 46307
(312) 203-6788
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.022525
IL
Other
Enumeration date
12/21/2020
Last updated
12/02/2021
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