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Organization
DESTINY HEALTHCARE AND WELLNESS LIMITED LIABILITY COMPANY
Active
Organization
DESTINY HEALTHCARE AND WELLNESS LIMITED LIABILITY COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OLUDAPO RAPHAEL ELUDOYIN FNP (CRNP)
(410) 491-0962
Entity
Organization
Contact information
Practice address
7060 OAKLAND MILLS RD, COLUMBIA, MD 21046-1694
(410) 491-0962
Mailing address
6001 CHARLES EDWARD TER, COLUMBIA, MD 21045-5147
(410) 491-0962
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
10/12/2021
Last updated
08/03/2023
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