CHINYERE NGOZI EZE

WALDORF, MD
NPI1003032855
Former NameCHINYERE NGOZI MUFORO
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: MD  C0004111)
Additional Taxonomies363AM0700X Physician Assistant, Medical
(Licence: DC  PA030649)
363AM0700X Physician Assistant, Medical
(Licence: VA  0110003552)
363AM0700X Physician Assistant, Medical
(Licence: FL  5103548)
Enumeration Date2007-04-18
Last Update Date2012-05-08
Business Address
Mrs. CHINYERE NGOZI EZE PA-C
11750 BUSINESS PARK DR SUITE 103
WALDORF, MD 20601-2907
Phone number: 240-419-3865
Mailing Address
Mrs. CHINYERE NGOZI EZE PA-C
11750 BUSINESS PARK DR SUITE 103
WALDORF, MD 20601-2907
Phone number: 240-419-3865