Individual
JASPER EZEIGBO JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5020 GOLD HILL RD, OWINGS MILLS, MD 21117-5056
(410) 350-5164
Mailing address
5020 GOLD HILL RD, OWINGS MILLS, MD 21117-5056
(410) 350-5164
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
05/18/2015
Last updated
05/18/2015
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