Individual
OLISAEMEKA ENWEZOH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10605 HEATHER GLEN WAY, BOWIE, MD 20720-4280
(301) 476-3233
Mailing address
240 S 40TH ST, PHILADELPHIA, PA 19104-6030
(215) 573-2588
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/27/2023
Last updated
04/27/2023
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