Individual
BABATUNDE ODEBODE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
608 LIMERICK WAY, LANDOVER, MD 20785-5912
(240) 354-7045
Mailing address
608 LIMERICK WAY, LANDOVER, MD 20785-5912
(240) 354-7045
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
R3581P
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R3581P
RESIDENTIAL SERVICE AGENCY
MD
Enumeration date
07/23/2014
Last updated
07/23/2014
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