Individual
CHIOMA IBENEME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
15 E CHESTNUT ST, AUGUSTA, ME 04330-5736
(207) 626-1561
(207) 626-1849
Mailing address
15 E CHESTNUT ST, AUGUSTA, ME 04330-5736
(207) 626-1561
(207) 626-1849
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
EC221039
ME
Other
Enumeration date
05/26/2022
Last updated
05/26/2022
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