MEDICARE: PATIENCE PAUL OKUNBOR

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1417670605
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PATIENCE PAUL OKUNBOR

Provider Business Mailing Address
First Line	:	4737 QUEENS CHAPEL TER NE
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20017-3138
Country	:	US
Telephone Number	:	202-725-9161
Fax Number	:

Provider Business Practice Location Address
First Line	:	4737 QUEENS CHAPEL TER NE
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20017-3138
Country	:	US
Telephone Number	:	202-725-9161
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/22/2022
Last Update Date	:	09/22/2022

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Directions to “ PATIENCE PAUL OKUNBOR ” Practice Location

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