Individual
MIRACLE DIKEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2300 GARRISON BLVD, BALTIMORE, MD 21216-2335
(410) 362-3600
Mailing address
835 MIDDLESEX RD, BALTIMORE, MD 21221-2129
(443) 554-6902
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R233807
MD
Other
Enumeration date
04/05/2021
Last updated
06/14/2022
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