Individual
MR. KINGSLEY IFEANYI EKWURIBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2103 HANCOCK DR, UPPER MARLBORO, MD 20774-5616
(240) 422-3338
Mailing address
2103 HANCOCK DR, UPPER MARLBORO, MD 20774-5616
(240) 422-3338
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
HHA10553
DC
376K00000X
Nurse's Aide
Primary
NA00605817
DC
Other
Enumeration date
03/18/2014
Last updated
04/06/2014
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