Individual
CHIDIADI AGOH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1447 YORK RD STE 506, LUTHERVILLE, MD 21093-6022
(410) 825-2281
Mailing address
6110 MAIN ST, LANHAM, MD 20706-2749
(301) 731-9888
(301) 681-4699
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
R185364
MD
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R185364
MD
Other
Enumeration date
03/12/2015
Last updated
07/25/2019
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