Individual
IZUCHUKWU ENWEREJI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6208 KENNEDY ST, RIVERDALE, MD 20737-3226
(240) 467-8639
Mailing address
6208 KENNEDY ST, RIVERDALE, MD 20737-3226
(240) 467-8639
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA12174
DC
Other
Enumeration date
07/29/2016
Last updated
07/29/2016
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