Individual
JOHN EROMOSE OKPEBHO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1717 WOODLORE RD, ANNAPOLIS, MD 21401-6580
(240) 708-5929
Mailing address
1717 WOODLORE RD, ANNAPOLIS, MD 21401
(240) 708-5929
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA13000
DC
Other
Enumeration date
08/25/2017
Last updated
07/21/2022
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