Individual
IFEOMA OBIANUJU AGEMBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1110 BENFIELD BLVD STE F, MILLERSVILLE, MD 21108-2644
(443) 274-3071
(866) 883-3430
Mailing address
1110 BENFIELD BLVD STE F, MILLERSVILLE, MD 21108-2644
(443) 274-3071
(866) 883-3430
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP39487
MD
Other
Enumeration date
05/01/2018
Last updated
05/01/2018
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