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Obehi Omoijuanfo
Developmental Disabilities Clinic/Center in Bowie, Maryland
NPI 1164193462

Obehi Omoijuanfo is a Developmental Disabilities Clinic/Center based in Bowie, MD and is specialized in Developmental Disabilities. Obehi Omoijuanfo practices in Bowie, MD. The NPI Number for Obehi Omoijuanfo is 1164193462 and holds a License No. R202569 (Maryland).

The current practice location address for Obehi Omoijuanfo is 14905 Doveheart Ln, Bowie, MD and can be reached out via phone at 240-520-3197.

Location: 14905 Doveheart Ln, Bowie, MD, 20721-3084
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164193462
Provider Name
Obehi Omoijuanfo
Credential
Provider Entity Type
Individual
Gender
Female
Address
14905 Doveheart Ln, Bowie, MD, 20721-3084
Phone Number
240-520-3197
Fax Number
Provider Enumeration Date
09/26/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
14905 Doveheart Ln
City
Bowie
State
Maryland
Zip
20721-3084
Phone Number
240-520-3197
Fax Number
person
Provider Business Mailing Address Details
Address
14905 Doveheart Ln
City
Bowie
State
Maryland
Zip
20721-3084
Phone Number
240-520-3197
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Developmental Disabilities
Taxonomy
261QD1600X
License No.
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Definition
An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
R202569 (Maryland)
Definition
Definition to come...
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