Individual
GWENDOLINE TAKOR EGBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1260 LIBERTY RD, ELDERSBURG, MD 21784-7928
(410) 795-2968
(410) 795-6832
Mailing address
1260 LIBERTY RD, ELDERSBURG, MD 21784-7928
(301) 404-0379
(410) 795-6832
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14623
MD
Other
Enumeration date
10/05/2011
Last updated
10/05/2011
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