Individual
ULOMA C IBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9500 MEDICAL CENTER DR STE 105, LARGO, MD 20774-3703
(301) 615-4133
Mailing address
PO BOX 27996, BELFAST, ME 04915-2031
(301) 615-4133
(240) 245-2918
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D0084916
MD
Other
Enumeration date
04/24/2015
Last updated
06/01/2021
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