Individual
MAUREEN IFEACHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6501 N CHARLES ST, TOWSON, MD 21204-6819
(410) 938-3000
Mailing address
3626 LONGRIDGE CT, ABINGDON, MD 21009-2555
(443) 854-3373
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R196990
MD
Other
Enumeration date
04/11/2020
Last updated
04/11/2020
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