Individual
MR. SIMEON IFEANYI UMEOBI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
12222 KINGSWELL ST, BOWIE, MD 20721-1952
(240) 463-1240
Mailing address
12222 KINGSWELL ST, BOWIE, MD 20721-1952
(240) 463-1240
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP29845
MD
Other
Enumeration date
04/02/2008
Last updated
04/02/2008
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