Provider Demographics
NPI:1114605649
Name:OJIJIEME, ADAOBI LAUREL
Entity Type:Individual
Prefix:
First Name:ADAOBI
Middle Name:LAUREL
Last Name:OJIJIEME
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1517 HURLEY CT
Mailing Address - Street 2:
Mailing Address - City:HANOVER
Mailing Address - State:MD
Mailing Address - Zip Code:21076-1732
Mailing Address - Country:US
Mailing Address - Phone:240-547-7437
Mailing Address - Fax:
Practice Address - Street 1:1517 HURLEY CT
Practice Address - Street 2:
Practice Address - City:HANOVER
Practice Address - State:MD
Practice Address - Zip Code:21076-1732
Practice Address - Country:US
Practice Address - Phone:240-547-7437
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-05
Last Update Date:2023-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator