Individual
IFEYI AMASIATU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2250 HICKORY RD, PLYMOUTH MEETING, PA 19462-1047
(800) 879-4471
Mailing address
9034 LYONSWOOD DRIVE, OWINGS MILL, MD 21117
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN1050083
DC
Other
Enumeration date
12/11/2009
Last updated
10/03/2018
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