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Individual

IFEOMA VIVIAN OKONKWO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4017 MINNESOTA AVE NE, WASHINGTON, DC 20019-3541
(202) 388-9202
Mailing address
3809 COOPER LN, HYATTSVILLE, MD 20784-2452
(678) 394-6790

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
09/06/2023
Last updated
09/06/2023
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