Individual
ABOSEDE O SOBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
4340 CONNECTICUT AVE NW, WASHINGTON, DC 20008-2315
(202) 800-8647
Mailing address
5603 KAVEH CT, UPPER MARLBORO, MD 20772-3681
(240) 755-4903
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1024843
DC
363LF0000X
Family Nurse Practitioner
R197836
MD
363LF0000X
Family Nurse Practitioner
R197836
VA
Other
Enumeration date
10/25/2017
Last updated
12/13/2024
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