Individual
DUPE ODURINDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9112 BRIARCHIP ST, LAUREL, MD 20708-1304
(202) 830-7907
Mailing address
9112 BRIARCHIP ST, LAUREL, MD 20708-1304
(202) 830-7907
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN1008708
DC
Other
Enumeration date
04/13/2023
Last updated
04/13/2023
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