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Olisaemeka Enwezoh
Student in an Organized Health Care Education/Training Program in Bowie, Maryland
NPI 1023706942

Olisaemeka Enwezoh is a Student in an Organized Health Care Education/Training Program based in Philadelphia, MD. Olisaemeka Enwezoh practices in Bowie, MD. The NPI Number for Olisaemeka Enwezoh is 1023706942 and holds a License No. (Maryland).

The current practice location address for Olisaemeka Enwezoh is 10605 Heather Glen Way, Bowie, MD and can be reached out via phone at 301-476-3233. You can also correspond with Olisaemeka Enwezoh through the mailing address at 240 S 40TH ST, PHILADELPHIA, PA - 19104-6030 (mailing address contact number: 215-573-2588).

Location: 10605 Heather Glen Way, Bowie, MD, 19104-6030
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1023706942
Provider Name
Olisaemeka Enwezoh
Credential
Provider Entity Type
Individual
Gender
Male
Address
10605 Heather Glen Way, Bowie, MD, 19104-6030
Phone Number
301-476-3233
Fax Number
Provider Enumeration Date
04/27/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
10605 Heather Glen Way
City
Bowie
State
Maryland
Zip
20720-4280
Phone Number
301-476-3233
Fax Number
person
Provider Business Mailing Address Details
Address
240 S 40Th St
City
Philadelphia
State
Pennsylvania
Zip
19104-6030
Phone Number
215-573-2588
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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