Individual
EKEMINI AMOS ETUKUDOH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
640 TIMBER DR E STE 120, GARNER, NC 27529-7883
(615) 560-6622
Mailing address
561 HACKSAW TRL, RALEIGH, NC 27610-9728
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
NC
Other
Enumeration date
07/21/2026
Last updated
07/21/2026
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