Individual
MRS. AMAECHI IMELDA OLUMBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
920 BELLEVUE ST SE, WASHINGTON, DC 20032-6030
(202) 562-4939
Mailing address
12311 GUINEVERE RD, GLENN DALE, MD 20769-8939
(202) 403-9934
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN1051589
DC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
NP1051589
DC
Other
Enumeration date
01/07/2013
Last updated
06/11/2024
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