Organization
ECOBLOSSOM INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AUGUSTINA NWAKAEGO OGBUJI CMT (CHIEF OPERATIONS OFFICER)
(667) 217-7962
Entity
Organization
Contact information
Practice address
3815 FERNHILL AVE, BALTIMORE, MD 21215-5618
(667) 127-9262
Mailing address
3815 FERNHILL AVE, BALTIMORE, MD 21215-5618
(667) 217-9262
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
06/08/2023
Last updated
06/08/2023
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