Individual
MS. IBIJOKE TITILAYO AGBEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
9718 LANGLEY RD, MIDDLE RIVER, MD 21220-3882
(443) 527-4028
Mailing address
9718 LANGLEY RD, MIDDLE RIVER, MD 21220-3882
(443) 527-4028
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F08190691
MD
Other
Enumeration date
09/21/2019
Last updated
09/21/2019
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