Individual
AKON UKPONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6856 EASTERN AVE NW STE 320A, WASHINGTON, DC 20012-2112
(202) 541-9844
Mailing address
10508 FOXLAKE DR, BOWIE, MD 20721-2601
(240) 281-0044
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN1003555
MD
Other
Enumeration date
01/04/2021
Last updated
01/04/2021
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