Individual
NKEM EGUDIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2300 GARRISON BLVD STE 230, BALTIMORE, MD 21216-2377
(410) 233-4039
(410) 233-4052
Mailing address
2300 GARRISON BLVD STE 230, BALTIMORE, MD 21216-2377
(410) 233-4039
(410) 233-4052
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
4793
MD
Other
Enumeration date
10/19/2010
Last updated
05/21/2021
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