Provider Demographics
NPI:1770182768
Name:OFONEDU, UCHENNA JULIET
Entity Type:Individual
Prefix:
First Name:UCHENNA
Middle Name:JULIET
Last Name:OFONEDU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19518 DRY CANYON CT
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77449-6822
Mailing Address - Country:US
Mailing Address - Phone:713-505-8575
Mailing Address - Fax:
Practice Address - Street 1:19518 DRY CANYON CT
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77449-6822
Practice Address - Country:US
Practice Address - Phone:713-505-8575
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-21
Last Update Date:2020-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX348161164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse