Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225000000X | Orthotic Fitter | CFTS0989 | NC |
NPI | 1285964395 |
---|---|
Provider Name | Mr. Chukwuemeka Nwakamma Njoku |
First Address | Raleigh, NC 27609-7752 |
Second Address | Raleigh, NC 27609-7752 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/01/2010 |
Last Update Date | 12/01/2010 |