Individual
CALLISTUS NWABUEZE NWAMBA
Active
Individual
CALLISTUS NWABUEZE NWAMBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
129861
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9113902602
UMR
MO
Enumeration date
10/23/2014
Last updated
10/23/2014
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