Individual
GLADYS MOMOH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10081 CAMPUS WAY S, UPPER MARLBORO, MD 20774-2103
(202) 704-2920
Mailing address
1303 MINNESOTA WAY, UPPER MARLBORO, MD 20774-6065
(202) 704-2920
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R246488
MD
Other
Enumeration date
08/14/2012
Last updated
03/20/2025
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