Individual
LEAH N CHIBIKOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4660 MARTIN LUTHER KING JR AVE SW STE A1, WASHINGTON, DC 20032-4958
(202) 318-0179
Mailing address
1034 BURNS ST SE, WASHINGTON, DC 20019-3004
(202) 391-6001
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN1050187
DC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
NP1050187
DC
Other
Enumeration date
08/08/2024
Last updated
04/28/2025
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