Individual
JUDE UCHENNA MGBEKONYE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CNA
Contact information
Practice address
6735 JEFFERSON ST, MERRILLVILLE, IN 46410-3408
(219) 689-3710
Mailing address
6735 JEFFERSON ST, MERRILLVILLE, IN 46410-3408
(219) 689-3710
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
44030600684
IN
Other
Enumeration date
07/19/2007
Last updated
07/19/2007
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