Individual
VICTOR IKEMEFULA UKONU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
HOME HEALTH CARE ADM
Contact information
Practice address
4045 NW 64ST, OKLAHOMA, OK 73116
(405) 602-4746
Mailing address
P.O.BOX 720850, OKLAHOMA CITY, OK 73172-1610
(405) 602-4746
Taxonomy
Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
37D674350807
OK
Other
Enumeration date
04/13/2011
Last updated
04/13/2011
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