Individual
OMOLOLA OLUBUNMI FAMORIYO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2901 VALERIAN LN, UPPER MARLBORO, MD 20774-9215
(240) 485-8839
Mailing address
3925 GEORGIA AVE NW, WASHINGTON, DC 20011-5860
(240) 485-8839
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
MT0077871
MD
Other
Enumeration date
11/05/2012
Last updated
11/05/2012
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