Individual
SAMUEL EGBE EBAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5802 ANNAPOLIS RD, BLADENSBURG, MD 20710-2075
(240) 289-3923
Mailing address
5802 ANNAPOLIS RD, BLADENSBURG, MD 20710-2075
(240) 289-3923
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/11/2023
Last updated
12/11/2023
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