Individual
NNENNA JOYCE EYIBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
15027 PINE TOP LN, BURTONSVILLE, MD 20866-1318
(240) 486-4918
Mailing address
15027 PINE TOP LN, BURTONSVILLE, MD 20866-1318
(240) 486-4918
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
0001282133
VA
Other
Enumeration date
12/14/2020
Last updated
12/14/2020
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