Individual
EVELYN OLUPONA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9709 HUMMINGBIRD LN, UPPER MARLBORO, MD 20772-4765
(301) 877-8078
Mailing address
9709 HUMMINGBIRD LN, UPPER MARLBORO, MD 20772-4765
(301) 877-8078
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
O415238005650
MD
Other
Enumeration date
05/24/2012
Last updated
05/24/2012
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