Individual
MOTUNRAYO OWOLABI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
9814 BLACK EAGLE WAY UPPR MARLB, UPPER MARLBORO, MD 20772-4368
(301) 653-3835
Mailing address
9814 BLACK EAGLE WAY UPPR MARLB, UPPER MARLBORO, MD 20772-4368
(301) 653-3835
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F11200989
DC
Other
Enumeration date
12/07/2020
Last updated
12/07/2020
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