Individual
SIMIDELE NEWBOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
902 HALL STATION DR APT 102, BOWIE, MD 20721-6013
(202) 981-9894
Mailing address
902 HALL STATION DR APT 102, BOWIE, MD 20721-6013
(202) 981-9894
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
A00177024
MD
Other
Enumeration date
02/05/2021
Last updated
02/05/2021
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