Individual
CHINEDU VINCENT OFOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7 SAINT PAUL ST STE 820, BALTIMORE, MD 21202-1681
(800) 370-3651
(877) 515-7147
Mailing address
4130 KENNYGREEN CT, RANDALLSTOWN, MD 21133-5302
(410) 908-6207
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R170513
MD
Other
Enumeration date
01/19/2019
Last updated
03/12/2019
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