Individual
JOYCE EKWUTOSI OGBU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
205 BUNN RD, LOUISBURG, NC 27549-2705
(919) 497-0114
Mailing address
2806 SAGEBRUSH LN, DURHAM, NC 27703-9394
(425) 417-8610
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
FCL035030
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
FCL035030
—
NC
Enumeration date
02/16/2018
Last updated
02/16/2018
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