Individual
MISS NNENNAYA UDOCHU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7219 NW ELEANOR AVE, PORTLAND, OR 97229-6972
(316) 670-3446
Mailing address
7219 NW ELEANOR AVE, PORTLAND, OR 97229-6972
(316) 670-3446
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
11/24/2021
Last updated
11/24/2021
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