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Individual

IJEOMA IGWE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
9 HELEN CT, INDIAN HEAD, MD 20640-1967
(240) 535-8731
(240) 586-4767
Mailing address
9 HELEN CT, INDIAN HEAD, MD 20640-1967
(240) 535-8731
(301) 586-4767

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
R3467
MD
251E00000X
Home Health Agency
Primary
R3973
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
205507400
MD
Enumeration date
04/23/2014
Last updated
04/18/2017
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