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Individual

LYDIA NDI EJACHA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
9135 PISCATAWAY RD STE 410, CLINTON, MD 20735-2555
(240) 688-5033
Mailing address
780 FAIRVIEW AVE, 302, TAKOMA PARK, MD 20912-5978

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R229134
MD

Other

Enumeration date
05/28/2012
Last updated
12/11/2024
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