Organization
KEVIN O ONUEKWUSI
Active
Other names
OLIVE CLINIC AND WELLNESS CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN ONUEKWUSI DNP, CRNP, AGNP (OWNER OF ENTITY)
(240) 416-3684
Entity
Organization
Contact information
Practice address
3311 TOLEDO TER STE B204, HYATTSVILLE, MD 20782-8149
(240) 416-3684
Mailing address
3311 TOLEDO TER STE B204, HYATTSVILLE, MD 20782-8149
(240) 416-3684
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/20/2022
Last updated
08/17/2023
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