Individual
DILICHUKWU OMAZUYA IGWEZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
7928 QUIDDITCH LN, ELKRIDGE, MD 21075-7540
(301) 814-1711
Mailing address
7928 QUIDDITCH LN, ELKRIDGE, MD 21075-7540
(301) 814-1711
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP50760
MD
Other
Enumeration date
12/07/2022
Last updated
12/07/2022
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