Individual
BERNICE KPADJIBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6230 OLD DOBBIN LN, COLUMBIA, MD 21045-5803
(410) 730-3399
Mailing address
6230 OLD DOBBIN LN STE 230, COLUMBIA, MD 21045-5884
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
C0009618
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/04/2021
Last updated
01/12/2025
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