Individual
CHIDINMA ROSEANN UKAZU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 N WOLFE ST, BALTIMORE, MD 21287-0005
(410) 550-0453
Mailing address
6201 GREENLEIGH AVE FL 2, MIDDLE RIVER, MD 21220-2004
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R192281
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R192281
MD LICENSE
MD
Enumeration date
12/12/2018
Last updated
12/16/2021
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