Individual
EBERE OGBONNAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12 WILLOW CREEK CT, BALTIMORE, MD 21234-8715
(410) 900-4201
Mailing address
12 WILLOW CREEK CT, BALTIMORE, MD 21234-8743
(410) 900-4201
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP44506
MD
Other
Enumeration date
06/10/2024
Last updated
03/27/2025
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