Individual
MR. RAYMOND IKECHUKWU EZIRIKE III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ACSM-EP
Contact information
Practice address
118 HAZARD AVE, ENFIELD, CT 06082-4593
(860) 803-2319
Mailing address
91 LANCASTER DR, WINDSOR, CT 06095-1467
(860) 803-2319
Taxonomy
Speciality
Code
Description
License number
State
224Y00000X
Clinical Exercise Physiologist
Primary
1070016
CT
Other
Enumeration date
07/10/2024
Last updated
07/10/2024
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