| NPI | 1073939120 |
|---|---|
| Former Name | NEVILLE AGBOR ENOW |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: DC RN1053738) |
| Additional Taxonomies | 374U00000X Home Health Aide |
| Enumeration Date | 2014-03-13 |
| Last Update Date | 2020-10-27 |