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Individual

OLUCHI EKECHUKWU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
356 STUYVESANT AVE, APT 406, IRVINGTON, NJ 07111-1615
(973) 399-9938
Mailing address
356 STUYVESANT AVE, APT 406, IRVINGTON, NJ 07111
(973) 399-9938

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
26NP06625400
NJ
164W00000X
Licensed Practical Nurse
Primary
305209
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
305209
LPN LICENSE
NY
Enumeration date
07/15/2011
Last updated
07/15/2011
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