Individual
IKENNA EKPETE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3706 63RD AVENUE, HYATTSVILLE, MD 20785
(301) 256-8066
Mailing address
3706 63RD AVENUE, HYATTSVILLE, MD 20785
(301) 256-8066
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
04/24/2013
Last updated
04/24/2013
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