Ambomu, Ifa

Ambomu, Ifa is an sole proprietor health care provider with primary practice located at 4920 Niagara Rd , College Park MD 20740-1110. He recently has 2 registered licenses in different health care specialties including Nursing Service Related Providers / Home Health Aide, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is his primary health care specialty. Ambomu, Ifa can be contacted via phone (301) 982-6477.

Contact Information

Primary practice address
4920 Niagara Rd College Park MD 20740-1110
Phone: (301) 982-6477
Fax: (301) 982-6488
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Home Health Aide 374U00000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1164786505
LBN Legal business name Ambomu, Ifa
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 29th, 2012
Last updated Jun 13th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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