Individual
MS. DORCAS TERSA WOKOMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6223 MARCUS LANE, WEST CHESTER, OH 45069
(513) 584-4271
(513) 931-5776
Mailing address
8294 BOBOLINK AVE, CINCINNATI, OH 45231-5502
(513) 931-5775
(513) 931-5776
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
284268
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2368085
OHIO MEDICAID
OH
01
—
950052
ODJFS
OH
Enumeration date
05/14/2007
Last updated
07/08/2007
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