Individual
EJOBE OMO-TAIGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5100 BROWN STATION RD, UPPER MARLBORO, MD 20772-9132
(301) 627-1500
Mailing address
5100 BROWN STATION RD, UPPER MARLBORO, MD 20772-9132
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
16749
MD
Other
Enumeration date
09/29/2016
Last updated
09/29/2016
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