Individual
KALU BEN IROHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6418 SWATNER DR, RALEIGH, NC 27612-1963
(803) 937-9023
Mailing address
6418 SWATNER DR, RALEIGH, NC 27612-1963
(803) 937-9023
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
124171
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/11/2019
Last updated
09/18/2019
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