Healthcare Provider Details

I. General information

NPI: 1427710813
Provider Name (Legal Business Name): PRISCILLA OHUOHA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/12/2021
Last Update Date: 01/09/2025
Certification Date: 01/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14300 GALLANT FOX LN STE 202
BOWIE MD
20715-4033
US

IV. Provider business mailing address

14300 GALLANT FOX LN STE 202
BOWIE MD
20715-4033
US

V. Phone/Fax

Practice location:
  • Phone: 202-932-8149
  • Fax:
Mailing address:
  • Phone: 202-932-8149
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number20449
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: