Individual
IKEMEFULA NWANGBURUKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
301 ANDREWS AVE, FORT NOVOSEL, AL 36362
(334) 255-7028
Mailing address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 798-8727
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
C011516
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/16/2016
Last updated
06/30/2025
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