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Individual

MS. OGECHI O UKACHU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
2720 MARTIN LUTHER KING JR AVE SE, WASHINGTON, DC 20032-2601
(202) 730-0524
Mailing address
14600 DERVISH CT, BOWIE, MD 20721-3092

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN1028090
DC
363LF0000X
Family Nurse Practitioner
NP1028090
DC
363LF0000X
Family Nurse Practitioner
Primary
R200504
MD

Other

Enumeration date
04/04/2018
Last updated
01/05/2023
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