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NPI Code Detail

MEDICARE: SERAH EGWE ATEKWANE

MEDICARE: SERAH EGWE ATEKWANE
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 : 1942568027
Entity Type Code : Individual
Provider Name (Legal Business Name) : SERAH EGWE ATEKWANE
Provider Business Mailing Address
First Line : 9267 BREWINGTON LN
Second Line :
City : LAUREL
State : MD
Zip : 20723-5841
Country : US
Telephone Number : 202-247-5172
Fax Number :
Provider Business Practice Location Address
First Line : 2312 RHODE ISLAND AVE NE
Second Line :
City : WASHINGTON
State : DC
Zip : 20018-2829
Country : US
Telephone Number : 202-635-6006
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/26/2012
Last Update Date : 04/26/2012

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Directions to “ SERAH EGWE ATEKWANE ” Practice Location

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