Individual
JENNIFER OMOIJUANFO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8511 HARFORD RD STE D, BALTIMORE, MD 21234-4670
(202) 957-4114
Mailing address
1701 STONE IVY PL, BEL AIR, MD 21015-5717
(202) 957-4114
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R203170
MD
Other
Enumeration date
03/13/2019
Last updated
06/11/2019
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