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Collins U Ekwenugo, Bachalor of Science

Nursing Care in Snellville, GA. Individual provider (NPI-1).

NPI number1265080048
StatusActive
Last updated in NPPESAug 26, 2019

Details

NPI
1265080048
Entity type
Individual (NPI-1)
Name
Collins U Ekwenugo
Credential
Bachalor of Science
Sex
Male
Sole proprietor
Yes
Enumeration date
Aug 26, 2019
Last updated
Aug 26, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251J00000X Nursing Care––Yes

Practice location

2555 Rosedale Rd
Snellville, GA 30078-4101

Phone 404-863-7942

Mailing address

Po Box 464031
Lawrenceville, GA 30042-4031

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