Individual
KEITH EBOT NKWANYUO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3501 WILD CHERRY RD, BALTIMORE, MD 21244-2944
(240) 906-1183
Mailing address
3501 WILD CHERRY RD, BALTIMORE, MD 21244-2944
(240) 906-1183
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
DC
Other
Enumeration date
11/20/2023
Last updated
11/20/2023
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