SUSAN OMWANGHE EDIONWE M.D.

Business Entity
ACTIVE

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****25

ACTIVE

N

M.D.

SUSAN

OMWANGHE

EDIONWE

SUSAN OMWANGHE EDIONWE M.D.

04/09/2026

04/09/2026

07/31/2029

TX

PRACTITIONER

II III IV V

N

04/09/2026