Individual
JACINTHA NWAODAKU OBI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4215 MONTICELLO AVE, BRONX NEW YORK, BRONX, NY 10466-2111
(718) 231-9695
Mailing address
4215 MONTICELLO AVE, BRONX, BRONX, NY 10466-2111
(718) 231-9695
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
607009-1
NY
Other
Enumeration date
07/15/2010
Last updated
07/15/2010
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