Individual
STANLEY IJOMOH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
601 7TH ST STE 203, LAUREL, MD 20707-4011
(301) 933-8188
Mailing address
601 7TH ST STE 203, LAUREL, MD 20707-4011
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
HHA12011
DC
376K00000X
Nurse's Aide
Primary
A00155945
MD
Other
Enumeration date
05/11/2016
Last updated
05/11/2016
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