Individual
MAXWELL ONYEDIKACHI OSISIOMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SFIDC
Contact information
Practice address
H M SMITH BLVD, CAMP LEJEUNE, NC 28547
(910) 451-5125
Mailing address
H M SMITH BLVD, CAMP LEJEUNE, NC 28547
(910) 451-5125
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
01/13/2020
Last updated
08/06/2026
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