Individual
NKEIRU OMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3700 ODONNELL ST, BALTIMORE, MD 21224-5269
(773) 292-4800
(312) 564-4059
Mailing address
909 RIDGEBROOK RD, SPARKS, MD 21152-9474
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R209368
MD
Other
Enumeration date
01/20/2020
Last updated
09/02/2022
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