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Individual

MS. NNEKA NWAMAKA MOTANYA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
5255 LOUGHBORO RD NW, WASHINGTON, DC 20016-2633
(888) 808-6483
(888) 721-8040
Mailing address
PO BOX 6752, ANNAPOLIS, MD 21401-0752
(888) 808-6483
(888) 721-8040

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
C05672
MD
363AM0700X
Medical Physician Assistant
Primary
PA030719
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
C05672
PHYSICIAN ASSISTANT LICENSE
MD
01
PA030719
PHYSICIAN ASSISTANT LICENSE NUMBER
DC
Enumeration date
12/08/2010
Last updated
08/12/2021
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