Individual
JUDITH OKEZIE CHUKUEKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
44330 MERCURE CIR STE 112, DULLES, VA 20166-2023
(862) 755-6032
Mailing address
44330 MERCURE CIR STE 112, DULLES, VA 20166-2023
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0024186920
VA
Other
Enumeration date
04/20/2023
Last updated
04/20/2023
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