Provider Demographics
NPI:1023502424
Name:EZE, ROSEMARY ONYINYECH
Entity type:Individual
Prefix:
First Name:ROSEMARY ONYINYECH
Middle Name:
Last Name:EZE
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 1:3402 DEAN DR APT 103
Mailing Address - Street 2:
Mailing Address - City:HYATTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20782-1204
Mailing Address - Country:US
Mailing Address - Phone:202-270-1135
Mailing Address - Fax:
Practice Address - Street 1:3402 DEAN DR APT 103
Practice Address - Street 2:
Practice Address - City:HYATTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20782-1204
Practice Address - Country:US
Practice Address - Phone:202-270-1135
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-19
Last Update Date:2018-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide