Individual
PHILIP CHIMA EJIAKU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6802 MCCLEAN BLVD, BALTIMORE, MD 21234-7260
(410) 444-3800
Mailing address
6802 MCCLEAN BLVD, BALTIMORE, MD 21234-7260
(410) 444-3800
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
G13144
MD
Other
Enumeration date
10/09/2018
Last updated
10/09/2018
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