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Individual

MARY GINIKANWA OBIYO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
219 S WASHINGTON ST, EASTON, MD 21601-2913
(701) 876-9227
Mailing address
9304 BAY LEAF CT, UPPER MARLBORO, MD 20772-3298
(701) 876-9227

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
R47033
ND
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R264224
MD

Other

Enumeration date
12/20/2022
Last updated
03/05/2026
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