Individual
LLOYD AMAGHIONYEODIWE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
14440 CHERRY LANE CT STE 102B, LAUREL, MD 20707-4946
(240) 646-2214
(270) 650-0860
Mailing address
14440 CHERRY LANE CT STE 102B, LAUREL, MD 20707-4946
(240) 646-2214
(270) 650-0860
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
R3743R
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
R3743R
—
MD
Enumeration date
01/10/2019
Last updated
01/10/2019
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