Individual
KOMLAN JOSE AFEZUKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
110 BAUGHMANS LN, FREDERICK, MD 21702-4059
(443) 410-4644
Mailing address
30 N GOULD ST # 37530, SHERIDAN, WY 82801-6317
(443) 410-4644
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
—
—
Other
Enumeration date
04/13/2026
Last updated
04/13/2026
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