Individual
AMABUE JEFFREY IWUDYKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
730 N ASHBURTON ST, BALTIMORE, MD 21216-4703
(410) 233-0684
Mailing address
4907 SHANTI LN, BALTIMORE, MD 21237-3388
(443) 529-7723
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R150819
MD
Other
Enumeration date
09/19/2019
Last updated
09/19/2019
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