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Individual

THELMA EZEONU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1450 MERCANTILE LN STE 241, UPPER MARLBORO, MD 20774-5464
(301) 532-7685
Mailing address
13512 MARY BOWIE PKWY, UPPER MARLBORO, MD 20774-9072
(301) 532-7685

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R198848
MD

Other

Enumeration date
02/18/2014
Last updated
10/31/2023
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