Individual
MR. DIVINE NDODE KEBULU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
499 ASHTON LN, ABINGDON, MD 21009-3224
(240) 426-8403
Mailing address
499 ASHTON LN, ABINGDON, MD 21009-3224
(240) 426-8403
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
20365
MD
Other
Enumeration date
11/08/2011
Last updated
11/08/2011
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