Individual
EKINADOSE UKPONMWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
97 WILSON PL APT 401, ORANGE, NJ 07050-3864
(973) 489-1018
Mailing address
97 WILSON PL APT 401, ORANGE, NJ 07050-3864
(973) 489-1018
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
NJ
Other
Enumeration date
05/01/2023
Last updated
05/01/2023
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