Doctor Name: | STANLEY IJOMOH |
NPI Number: | 1184070849 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | HHA12011 |
Business Practice Address: | 601 7th St Ste 203 Laurel, MD - 207074011 |
Business Phone Number: | 3019338188 |
Business Fax Number: | |
Mailing Address: | 601 7th St Ste 203, LAUREL |
State: | MD |
Postal Code: | 207074011 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 05/11/2016 |
NPI Last Update Date: | 05/11/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 374U00000X |
License Number: | HHA12011 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | DC |
Taxonomy Type: | Nursing Service Related Providers |
Taxonomy Classification: | Home Health Aide |
Taxonomy Specialization: | |
Taxonomy Definition: | A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes. |