Individual
UZODINMA IHEDINACHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3013 KASPAR CT, WALDORF, MD 20603-5705
(703) 362-2725
(240) 523-7393
Mailing address
3013 KASPAR CT, WALDORF, MD 20603-5705
(703) 362-2725
(240) 523-7393
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
RN177065
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
166104300
—
MD
Enumeration date
02/16/2022
Last updated
02/16/2022
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