Individual
CHUKS G EZIEFULA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4931 N CAPITOL ST NE APT 31, WASHINGTON, DC 20011-6752
(240) 473-5218
Mailing address
4931 N CAPITOL ST NE APT 31, WASHINGTON, DC 20011-6752
(240) 476-5218
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
RN1040687
DC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R220917
MD
Other
Enumeration date
07/06/2020
Last updated
12/10/2024
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