# PRISTINE HEALTHCARE SERVICES INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881471902
- **Authorized official:** FUNMILAYO ONI (PRESIDENT)
- **Authorized official phone:** (240) 593-6255

## Contact information

- **Practice address:** 9405 6TH ST N, LAUREL, MD 20723-1939
- **Practice address phone:** (240) 593-6255
- **Practice address fax:** (301) 725-0752
- **Mailing address:** 9405 6TH ST N, LAUREL, MD 20723-1939
- **Mailing address phone:** (240) 593-6255

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | — | NULL | Yes |
| 363LA2200X | Adult Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 09/12/2023
- **Last updated:** 02/05/2025