Provider Demographics
NPI:1811435159
Name:OGUIKE, OLUCHI
Entity type:Individual
Prefix:
First Name:OLUCHI
Middle Name:
Last Name:OGUIKE
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 1:5100 57TH AVE
Mailing Address - Street 2:APT. 101
Mailing Address - City:BLADENSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20710-1624
Mailing Address - Country:US
Mailing Address - Phone:301-529-4691
Mailing Address - Fax:
Practice Address - Street 1:5100 57TH AVE
Practice Address - Street 2:APT. 101
Practice Address - City:BLADENSBURG
Practice Address - State:MD
Practice Address - Zip Code:20710-1624
Practice Address - Country:US
Practice Address - Phone:301-529-4691
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-07
Last Update Date:2017-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCHHA12287374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide