Grace Johnson Etukudo

NPI 1326281346 - Nurse's Aide - 376K00000X

NPI Details
NPI 1326281346
Gender Female
Enumeration Date 04/07/2009
Last Updated 04/07/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
10180 SE SUNNYSIDE RD
CLACKAMAS OR, 97015-8970, US
Phone (503) 571-9062
Fax (503) 571-9036
Business Location
10180 SE SUNNYSIDE RD
CLACKAMAS OR, 97015-8970, US
Phone (503) 571-9062
Fax (503) 571-9036
Toxanomy
Taxonomy Code 376K00000X
License State Oregon
License Number 200612655CNA
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According to our database, Grace Johnson Etukudo NPI is 1326281346, taxonomy code is 376K00000X and license number is 200612655CNA, license state is located at Oregon. Grace Johnson Etukudo physically located at 10180 Se Sunnyside Rd, Clackamas OR, 97015-8970. NPI Number Grace Johnson Etukudo has the Individual type.

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1326281346 NPI number is provided on an as is basis without warranty of any kind. 1326281346 is maintained by the National Plan & Provider Enumeration System. The contents of Grace Johnson Etukudo are for informational purposes only.