Ifa Ambomu
Ifa Ambomu is a Home Health Aide in College Park, Maryland. Practices as a sole proprietor. Registered with an NPI since 2012.
- In the registry since
- 2012
- Specialties on file
- 2
Practice location Address checks out
College Park, MDNo coordinates on file. Search this address in Google Maps
Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X |
|---|---|
| Home Health Aide | Taxonomy 374U00000X |
Record details
| NPI number | 1164786505 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | June 29, 2012 |
| Last updated in NPPES | June 13, 2023 |
| Certification date | June 13, 2023 |
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