Individual
IKENNA ONUKWUGHA SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7833 RIVERDALE RD APT T3, NEW CARROLLTON, MD 20784-4017
(301) 828-8747
Mailing address
7833 RIVERDALE RD APT T3, NEW CARROLLTON, MD 20784-4017
(301) 828-8747
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA9388
DC
Other
Enumeration date
11/02/2013
Last updated
11/02/2013
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