Individual
MR. IKENNA UZOMAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CAA
Contact information
Practice address
6202 43RD AVE, HYATTSVILLE, MD 20781-1406
(301) 351-3800
Mailing address
6202 43RD AVE, HYATTSVILLE, MD 20781-1406
(301) 351-3800
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
—
DC
Other
Enumeration date
09/08/2015
Last updated
09/09/2015
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