Individual
AKOBUCHI UDOH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5208 58TH AVE, RIVERDALE, MD 20737-3202
(301) 277-0091
Mailing address
5208 58TH AVE, RIVERDALE, MD 20737-3202
(301) 277-0091
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA2049
DC
376K00000X
Nurse's Aide
A00020742
MD
376K00000X
Nurse's Aide
NA00600061
DC
Other
Enumeration date
10/23/2014
Last updated
03/17/2016
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