Individual
INNOCENT UWAKWE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3419 METZEROTT RD, COLLEGE PARK, MD 20740-4425
(202) 455-1747
Mailing address
3419 METZEROTT RD, COLLEGE PARK, MD 20740-4425
(202) 455-1747
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN1034716
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN1034716
DC. DEPT. HEALTH
DC
Enumeration date
09/22/2015
Last updated
09/22/2015
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