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Individual

CLEMENT OKEHIE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
13939 BISHOPS BEQUEST RD, UPPER MARLBORO, MD 20772
(206) 934-9193
Mailing address
13939 BISHOPS BEQUEST RD, UPPER MARLBORO, MD 20772
(206) 934-9193

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
376K00000X
Nurse's Aide

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
A00171945
MD
05
O200119336848
MD
Enumeration date
11/09/2017
Last updated
09/23/2020
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