Organization
UKOH METRO MENTAL HEALTHCARE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. IMMACULATA UKOH NURSE PRACTITIONER (PRESIDENT/CEO)
(240) 467-2116
Entity
Organization
Contact information
Practice address
4404 QUEENSBURY RD, RIVERDALE PARK, MD 20737-1068
(240) 467-2116
(240) 764-7527
Mailing address
4404 QUEENSBURY RD, RIVERDALE PARK, MD 20737-1068
(240) 467-2116
(240) 764-7527
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AC 001241
MD
Other
Enumeration date
04/07/2014
Last updated
04/07/2014
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