Most Relevant Information
Provider Data
| NPI Number: | 1003656414 |
| Provider Name: | KEN-LOUIS EMEKA OBIAJULU |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/31/2024 |
| Last Updated: | 05/31/2024 |
Provider Practice Location
10504 LOUISVILLE LN
UPPER MARLBORO
MD
207746048
Practice Location Phone/Fax
| Phone: | 2404674022 |
| Fax: |
Provider Mailing Location
10504 LOUISVILLE LN
UPPER MARLBORO
MD
207746048
Provider Mailing Phone/Fax
| Phone: | 2404674022 |
| Fax: |