Individual
WANKA NDIFOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5255 LOUGHBORO RD NW, WASHINGTON, DC 20016-2633
(202) 537-4171
Mailing address
9116 SCOTT ADAM CT, 201, LAUREL, MD 20708-1044
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH10000094
DC
Other
Enumeration date
05/30/2012
Last updated
05/30/2012
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