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Individual

NDIDI GLORY ILOANYA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5755 CEDAR LN, COLUMBIA, MD 21044-2912
(410) 740-7830
Mailing address
5021 ROME RED WAY, ELLICOTT CITY, MD 21043-6847
(301) 675-8928

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R150281
MD

Other

Enumeration date
02/20/2019
Last updated
02/20/2019
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