Individual
MR. FIDELIS U OKORO
Active
Individual
MR. FIDELIS U OKORO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CEO/OWNER
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
A827500
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007848835
—
LA
05
—
822675605
—
LA
Enumeration date
10/16/2017
Last updated
06/16/2018
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