Individual
VERA NKADMBI AZIWOH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3217 75TH AVE, HYATTSVILLE, MD 20785-1921
(240) 413-8519
Mailing address
3217 75TH AVE, HYATTSVILLE, MD 20785-1921
(240) 413-8159
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN1005050
DC
Other
Enumeration date
10/03/2023
Last updated
10/03/2023
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