Individual
EDWARD NWANNEKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
531 SPARKLEBERRY TER NE, LEESBURG, VA 20176-4050
(703) 966-2184
Mailing address
531 SPARKLEBERRY TER NE, LEESBURG, VA 20176-4050
(703) 966-2184
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
615
VA
Other
Enumeration date
09/07/2022
Last updated
09/07/2022
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