Individual
JUDITH CHINONSO UWAZURUONYE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14 RED GRAVEL CIR, SICKLERVILLE, NJ 08081-1672
(856) 418-0101
Mailing address
14 RED GRAVEL CIR, SICKLERVILLE, NJ 08081-1672
(856) 264-6915
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ01435700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0450354007
HOME HEALTHCARE AGENCY
NJ
Enumeration date
03/04/2019
Last updated
06/29/2023
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