Individual
JENNIFER EDUGWU AGBO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8201 E RIVERSIDE BLVD, ROCKFORD, IL 61114-2300
(815) 971-7000
Mailing address
7702 N ALPINE RD, LOVES PARK, IL 61111-3107
(815) 971-7000
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/22/2024
Last updated
04/22/2024
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