Individual
DR. SAMUEL ONYEBUCHI IJOMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
6948 MAYFAIR TER, LAUREL, MD 20707-5213
(410) 948-8906
Mailing address
PO BOX 7654, SILVER SPRING, MD 20907-7654
(410) 948-8906
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
332BD1200X
Dialysis Equipment & Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Enumeration date
07/27/2017
Last updated
06/16/2018
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