Organization
RECONNECT SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLUFUNKE OYERONKE ADETUNJI (CLINICAL DIRECTOR)
(240) 291-8313
Entity
Organization
Contact information
Practice address
9825 GOOD LUCK RD APT 7, SEABROOK, MD 20706-3364
(240) 291-8313
Mailing address
9825 GOOD LUCK RD APT 7, SEABROOK, MD 20706-3364
(240) 291-8313
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
LC4175
MD
Other
Enumeration date
07/22/2013
Last updated
07/24/2013
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