Individual
NNENNA EZEOCHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1712 CRAIN HWY S, GLEN BURNIE, MD 21061-5503
(410) 761-1099
Mailing address
44 BADGER GATE CT, CATONSVILLE, MD 21228-3662
(410) 737-4623
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18698
MD
Other
Enumeration date
09/12/2008
Last updated
09/12/2008
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