Individual
ONOWU MOIRA IMEGWU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9000 FRANKLIN SQUARE DR, BALTIMORE, MD 21237-3901
(443) 777-7415
Mailing address
11210 OLD PRINCESS ANNE RD APT 8, PRINCESS ANNE, MD 21853-2908
(410) 600-5325
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0007008
MD
Other
Enumeration date
01/25/2019
Last updated
01/25/2019
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