Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | 28369 | WV |
NPI | 1003102831 |
---|---|
Provider Name | Dr. Rufina Nwanneka Odigwe |
First Address | Silver Spring, MD 20903-3340 |
Second Address | Washington, DC 20001-3035 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/06/2011 |
Last Update Date | 27/05/2020 |