Individual
CHIDINMA EBELE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
23447 TAILOR SHOP PL, CLARKSBURG, MD 20871
(240) 688-5964
Mailing address
23447 TAILOR SHOP PL, CLARKSBURG, MD 20871-4359
(240) 688-5964
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
06/06/2011
Last updated
12/19/2011
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