Individual
EKENE OBINNA MADU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
B.A
Contact information
Practice address
6565 MOUNTAIN HAWK LOOP NE, RIO RANCHO, NM 87144-7511
(505) 416-1951
Mailing address
6565 MOUNTAIN HAWK LOOP NE, RIO RANCHO, NM 87144-7511
(505) 416-1951
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
1618646749
NM
Other
Enumeration date
07/02/2025
Last updated
07/02/2025
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