Individual
CHIOMA EUNICE AGBO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYCH NP
Contact information
Practice address
245 ANDREA DR, ROCKAWAY, NJ 07866-3705
(973) 873-3083
Mailing address
245 ANDREA DR, ROCKAWAY, NJ 07866-3705
(973) 873-3083
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ00875300
NJ
Other
Enumeration date
10/29/2018
Last updated
03/02/2021
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