Provider Demographics
NPI:1043578073
Name:NKWETOJI, RONARD N
Entity Type:Individual
Prefix:
First Name:RONARD
Middle Name:N
Last Name:NKWETOJI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3823 64TH AVE
Mailing Address - Street 2:APT 3
Mailing Address - City:LANDOVER HILLS
Mailing Address - State:MD
Mailing Address - Zip Code:20784-1830
Mailing Address - Country:US
Mailing Address - Phone:240-277-4028
Mailing Address - Fax:
Practice Address - Street 1:3823 64TH AVE
Practice Address - Street 2:APT 3
Practice Address - City:LANDOVER HILLS
Practice Address - State:MD
Practice Address - Zip Code:20784-1830
Practice Address - Country:US
Practice Address - Phone:240-277-4028
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-27
Last Update Date:2012-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide