Individual
MR. ODOEMENAM BENNETH UZOMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
DD0405
MD
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
DD0405
MD
Other
Enumeration date
11/15/2021
Last updated
11/15/2021
Update your record
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