Individual
DR. MAEBOB GLORIA ENOKENWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8901 ROCKVILLE PIKE, BETHESDA, MD 20889-0001
(301) 295-4000
Mailing address
5134 MARSHALL ISLAND CT, N LAS VEGAS, NV 89031-0962
(702) 418-9914
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
—
208D00000X
General Practice Physician
Primary
0101283090
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/17/2022
Last updated
07/05/2024
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