Individual
MR. AFAMEFUNA IMMANUEL UKETUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2401 GEORGIA AVE NW, WASHINGTON, DC 20001-2201
(202) 865-6100
Mailing address
14437 GENERAL WASHINGTON DR, WOODBRIDGE, VA 22193-3254
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
DC
Other
Enumeration date
10/31/2008
Last updated
10/31/2008
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