Individual
MS. IJEOMA AMOBI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5601 LOCH RAVEN BLVD, BALTIMORE, MD 21239-2945
(443) 444-4040
Mailing address
PO BOX 65, BUFFALO, NY 14215-0065
(716) 909-7254
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0005836
MD
Other
Enumeration date
07/27/2015
Last updated
07/27/2015
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