Individual
VICTOR OKWUKAOGU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
20 PARK ST APT 29, LYNN, MA 01905-2272
(781) 513-2780
Mailing address
20 PARK ST APT 29, LYNN, MA 01905-2272
(781) 513-2780
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2338323
MA
Other
Enumeration date
10/03/2022
Last updated
05/12/2024
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