Individual
INNOCENT I NJEMANZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
105 EGGES LN APT C, BALTIMORE, MD 21228-4515
(443) 226-3141
Mailing address
105 EGGES LN APT C, BALTIMORE, MD 21228-4515
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
C03292
MD
Other
Enumeration date
06/27/2011
Last updated
06/27/2011
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