Sabastian Chukwu
Community Health Worker in Laurel, MD. Individual provider (NPI-1).
NPI number1639906167
StatusActive
Last updated in NPPESSep 18, 2024
Details
- NPI
- 1639906167
- Entity type
- Individual (NPI-1)
- Name
- Sabastian Chukwu
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 18, 2024
- Certification date
- Sep 17, 2024
- Last updated
- Sep 18, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172V00000X | Community Health Worker | – | – | Yes |
| 374U00000X | Home Health Aide | – | – | |
| 376K00000X | Nurse's Aide | – | – |
Practice location
11521 Tuscany DrLaurel, MD 20708-2874
Phone 832-420-3235
Mailing address
11521 Tuscany DrLaurel, MD 20708-2874
Phone 832-420-3235
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