Individual
MARTIN NKEMAMIN NZEFEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1406 CRAIN HWY S # 104-106, GLEN BURNIE, MD 21061-4058
(410) 766-6624
(410) 766-0240
Mailing address
9814 PHEASANT RUN CT, LAUREL, MD 20708-3192
(240) 855-6293
(410) 766-0240
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R213812
MD
374U00000X
Home Health Aide
—
—
Other
Enumeration date
05/16/2012
Last updated
10/19/2020
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