Individual
STELLA O EJIOGU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2249 LAKE HERITAGE DR, TALLAHASSEE, FL 32311-9486
(850) 345-7607
Mailing address
2249 LAKE HERITAGE DR, TALLAHASSEE, FL 32311-9486
(850) 345-7607
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
11027346
FL
Other
Enumeration date
07/19/2023
Last updated
07/19/2023
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