Organization
MISO MEDICAL CENTER
Active
Other names
MISO Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. IFEOMA ONYIA (CEO)
(240) 918-3829
Entity
Organization
Contact information
Practice address
14440 CHERRY LANE CT STE 218, LAUREL, MD 20707-4946
(240) 918-3829
Mailing address
14440 CHERRY LANE CT STE 218, LAUREL, MD 20707-4946
(240) 918-3829
Taxonomy
Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
Primary
—
—
Other
Enumeration date
12/20/2021
Last updated
12/20/2021
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