Individual
EMMANUEL CHIDOBE NWANKWO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9861 DELLCASTLE RD, MONTGOMERY VILLAGE, MD 20886-1324
(240) 678-8994
Mailing address
9861 DELLCASTLE RD, MONTGOMERY VILLAGE, MD 20886-1324
(240) 678-8994
(240) 607-7111
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
R195263
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
N520229115300
—
MD
Enumeration date
03/16/2020
Last updated
03/16/2020
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