Individual
DR. AGBONLUAI EMMANUEL ATTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
211 GRAIDEN ST, UPPER MARLBORO, MD 20774-1817
(301) 404-7446
Mailing address
211 GRAIDEN ST, UPPER MARLBORO, MD 20774-1817
(301) 404-7446
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
25688
MD
Other
Enumeration date
08/06/2020
Last updated
08/06/2020
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