Individual
GRACE UKEEKWE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2405 12TH ST NE, WASHINGTON, DC 20018-1017
(202) 413-8122
Mailing address
2405 12TH ST NE, WASHINGTON, DC 20018-1017
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
57913
DC
Other
Enumeration date
09/27/2014
Last updated
09/27/2014
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