Individual
CORNELIA UDOH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7416 GEORGIA AVE NW, WASHINGTON, DC 20012-1769
(202) 882-0509
Mailing address
7416 GEORGIA AVE NW, WASHINGTON, DC 20012-1769
(202) 882-0509
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN961537
DC
Other
Enumeration date
03/24/2017
Last updated
03/24/2017
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