Individual
PEACE O IGHAVONGBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
911 WESTLAKE DR, BOWIE, MD 20721-1850
(240) 334-8257
(410) 986-2010
Mailing address
911 WESTLAKE DR, BOWIE, MD 20721-1850
(240) 334-8257
(410) 986-2010
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
A00141323
MD
Other
Enumeration date
11/10/2021
Last updated
11/10/2021
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