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Individual

JOHNSON OLALERE OMOLEWA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2900 ANTLER CT S, BOWIE, MD 20716-1339
(443) 356-5196
Mailing address
2900 ANTLER CT S, BOWIE, MD 20716-1339

Taxonomy

Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
R247887
MD

Other

Enumeration date
02/22/2022
Last updated
02/22/2022
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