Individual
OLUBUNMI M OGUNDERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5401 66TH PL, RIVERDALE, MD 20737-3001
(240) 505-9435
Mailing address
5401 66TH PL, RIVERDALE, MD 20737-3001
(240) 505-9435
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
C1442761254019909
—
MD
Enumeration date
05/29/2019
Last updated
05/29/2019
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