Individual
LUCKSLEY NZALLE EBWEKANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2900 S GLEBE RD, ARLINGTON, VA 22206-2752
(620) 418-3805
Mailing address
2900 S GLEBE RD, ARLINGTON, VA 22206-2752
(620) 418-3805
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/04/2024
Last updated
04/04/2024
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