Individual
PROMISE IHUOMA AMADI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2615 LADY GROVE RD, BOWIE, MD 20721-4126
(301) 775-6257
Mailing address
2615 LADY GROVE RD, BOWIE, MD 20721-4126
(301) 775-6257
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
F12200304
MD
Other
Enumeration date
08/26/2021
Last updated
08/26/2021
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