Individual
NJIDEKA U ONU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
46090 LAKE CENTER PLZ STE 201, POTOMAC FALLS, VA 20165-5878
(240) 486-6516
Mailing address
PO BOX 4212, WOODBRIDGE, VA 22194-4212
(571) 481-2442
(703) 619-5283
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2020092490
VA
Other
Enumeration date
11/19/2020
Last updated
07/18/2022
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