Individual
NGOZI MARYANN JIDEOFOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1622 WILLOWWOOD CT, HYATTSVILLE, MD 20785-4081
(240) 467-7730
Mailing address
1622 WILLOWWOOD CT, HYATTSVILLE, MD 20785-4081
(240) 467-7730
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
A00174114
MD
Other
Enumeration date
05/26/2021
Last updated
05/26/2021
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