Individual
ENDURANCE EGONMWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
416 E 30TH ST, BALTIMORE, MD 21218-3934
(410) 889-0727
(410) 889-0729
Mailing address
416 E 30TH ST, BALTIMORE, MD 21218-3934
(410) 889-0727
(410) 889-0729
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
11112
MA
Other
Enumeration date
09/26/2014
Last updated
09/26/2014
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