Individual
ROSELINE EJIKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13005 CADWALLADERS VISION DR, BOWIE, MD 20720-4674
(202) 701-8765
Mailing address
13005 CADWALLADERS VISION DR, BOWIE, MD 20720-4674
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN1008555
DC
Other
Enumeration date
12/08/2017
Last updated
12/08/2017
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