Individual
KENNETH CHUCKS EGBUFOAMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6323 GEORGIA AVE NW STE 305, WASHINGTON, DC 20011-1141
(202) 506-1242
(202) 506-1396
Mailing address
6323 GEORGIA AVE NW STE 305, WASHINGTON, DC 20011-1141
(202) 506-1242
(202) 506-1396
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
NA0000812544
WA
Other
Enumeration date
01/18/2021
Last updated
01/18/2021
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