Organization
DESTINY HEALTHCARE AND WELLNESS LIMITED LIABILITY COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OLUDAPO RAPHAEL ELUDOYIN FNP (CRNP)
(410) 491-0962
Entity
Organization
Contact information
Practice address
7060 OAKLAND MILLS RD, COLUMBIA, MD 21046-1694
(410) 491-0962
Mailing address
6001 CHARLES EDWARD TER, COLUMBIA, MD 21045-5147
(410) 491-0962
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
10/12/2021
Last updated
08/03/2023
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