Individual
EUREKA NGOIE KUKULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2759 MARTIN LUTHER KING JR AVE SE, WASHINGTON, DC 20032-2646
(202) 563-7632
Mailing address
650 REALM CT W, ODENTON, MD 21113-1559
(213) 461-3568
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
06/22/2023
Last updated
06/22/2023
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