Organization
CIWO HEALTHCARE SERVICES
Active
Organization
CIWO HEALTHCARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHIOMA EJEMOLE (PRESIDENT)
(973) 866-7691
Entity
Organization
Contact information
Practice address
10100 BALSAMWOOD DR, LAUREL, MD 20708-3152
(973) 866-7691
Mailing address
10100 BALSAMWOOD DR, LAUREL, MD 20708-3152
(973) 866-7691
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
10/25/2023
Last updated
10/25/2023
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