Individual
MR. IZUCHUKWU ISAAC AGUA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5434 85TH AVE APT T2, NEW CARROLLTON, MD 20784-3117
(124) 023-0273
(124) 023-0273
Mailing address
5434 85TH AVE APT T2, NEW CARROLLTON, MD 20784-3117
(124) 023-0273
(124) 023-0273
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/25/2026
Last updated
03/25/2026
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