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Olisaemeka Enwezoh

Student in an Organized Health Care Education/Training Program in Bowie, MD. Individual provider (NPI-1).

NPI number1023706942
StatusActive
Last updated in NPPESApr 27, 2023

Details

NPI
1023706942
Entity type
Individual (NPI-1)
Name
Olisaemeka Enwezoh
Sex
Male
Sole proprietor
Yes
Enumeration date
Apr 27, 2023
Certification date
Apr 27, 2023
Last updated
Apr 27, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

10605 Heather Glen Way
Bowie, MD 20720-4280

Phone 301-476-3233

Mailing address

240 S 40th St
Philadelphia, PA 19104-6030

Phone 215-573-2588

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