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Individual

MRS. ELERA YEYE NWOGU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.A

Contact information

Practice address
7940 JOHNSON AVE, GLENARDEN, MD 20706-1772
(301) 341-5450
(301) 341-2424
Mailing address
2512 NICOL CIR, MITCHELLVILLE, MD 20721-2955
(301) 925-4554

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
C0002905
MD
363AM0700X
Medical Physician Assistant
Primary
PA030294
DC

Other

Enumeration date
12/08/2009
Last updated
12/08/2009
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