Individual
NKECHI TRUDY EKWUEME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
BLDG 576 JEFFERSON AVE, FORT EUSTIS, VA 23604
(757) 314-7625
Mailing address
216 JAKES LN, NEWPORT NEWS, VA 23608-1293
(757) 877-5888
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0002067516
VA
Other
Enumeration date
12/18/2006
Last updated
07/08/2007
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