Provider Demographics
NPI:1689478976
Name:RALPH, QUEEN CHINYERE
Entity type:Individual
Prefix:
First Name:QUEEN
Middle Name:CHINYERE
Last Name:RALPH
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 QUEENSBERRY RD
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21237-1561
Mailing Address - Country:US
Mailing Address - Phone:443-449-4713
Mailing Address - Fax:
Practice Address - Street 1:100 QUEENSBERRY RD
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21237-1561
Practice Address - Country:US
Practice Address - Phone:443-449-4713
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-03
Last Update Date:2025-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program