Individual
IFEYINWA AJUMOBI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
100 BREWSTER BLVD, CAMP LEJEUNE, NC 28547-2575
(910) 450-4840
Mailing address
100 BREWSTER BLVD, CAMP LEJEUNE, NC 28547-2575
(910) 450-4840
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601008133
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1962808162
—
MI
Enumeration date
02/20/2017
Last updated
02/13/2024
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