Individual
EMMANUEL IKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7826 EASTERN AVE NW, LL18A, WASHINGTON, DC 20012-1324
(202) 722-7776
(202) 722-7785
Mailing address
7826 EASTERN AVE NW, LL18A, WASHINGTON, DC 20012-1324
(202) 722-7776
(202) 722-7785
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN8487
DC
Other
Enumeration date
07/05/2012
Last updated
07/05/2012
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