Individual
IMMACULATA ADAUGO OKONKWO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14116 BUCK HILL CT, BURTONSVILLE, MD 20866-2073
(202) 330-8160
Mailing address
14116 BUCK HILL CT, BURTONSVILLE, MD 20866-2073
(202) 330-8160
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN1015902
DC
Other
Enumeration date
05/21/2019
Last updated
05/21/2019
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