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NPI Code Detail

MEDICARE: CHUKWUEBUKA NEBOH

MEDICARE:   CHUKWUEBUKA  NEBOH
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
1374U00000XHome Health Aide

General Provider Information

NPI Number : 1891374609
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHUKWUEBUKA NEBOH
Provider Business Mailing Address
First Line : 401 PEMBERTON ST
Second Line :
City : UPPER MARLBORO
State : MD
Zip : 20774-1944
Country : US
Telephone Number : 240-640-1044
Fax Number :
Provider Business Practice Location Address
First Line : 401 PEMBERTON ST
Second Line :
City : UPPER MARLBORO
State : MD
Zip : 20774-1944
Country : US
Telephone Number : 240-640-1044
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/07/2021
Last Update Date : 04/07/2021

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Directions to “ CHUKWUEBUKA NEBOH ” Practice Location

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