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Organization

ONIC MEDICAL SERVICES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. HENRY C. EJEMOLE (ADMINISTRATOR)
(240) 391-6509
Entity
Organization

Contact information

Practice address
9811 MALLARD DRIVE, SUITE 117, LAUREL, MD 20708
(240) 391-6509
(240) 391-6515
Mailing address
9811 MALLARD DRIVE, SUITE 117, LAUREL, MD 20708
(240) 391-6509
(240) 391-6515

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
R2691
MD

Other

Enumeration date
04/30/2009
Last updated
07/24/2013
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