Individual
FREDRIC EKUNSEITAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2250 HICKORY RD, PLYMOUTH MEETING, PA 19462-1047
(800) 879-4471
Mailing address
2600 SQUAW VALLEY CT, APT. 7, SILVER SPRING, MD 20906-6166
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP43697
MD
Other
Enumeration date
03/23/2009
Last updated
03/23/2009
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