Individual
MRS. BENEDICTA C OSAMOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6808 PURPLE LILAC LN, CLINTON, MD 20735
(240) 766-9925
Mailing address
6808 PURPLE LILAC LN, CLINTON, MD 20735-4086
(240) 766-9925
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HHA12184
HHA
—
Enumeration date
10/03/2016
Last updated
09/07/2018
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