Individual
MARYROSE IFEOMA OKEMMUO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
24459 SUSSEX HWY, SEAFORD, DE 19973-4433
(302) 629-3099
(302) 629-6059
Mailing address
24459 SUSSEX HWY, SEAFORD, DE 19973-4433
(302) 629-3099
(302) 629-6059
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C5-0000858
DE
Other
Enumeration date
05/01/2013
Last updated
05/01/2013
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