Individual
CAROLINE AKOMOLEDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8420 GALE LANE, AA, SEVERN, MD 21144
(240) 821-4822
Mailing address
8420 GALE LANE, AA, SEVERN, MD 21144
(240) 821-4822
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN1004174
DC
Other
Enumeration date
05/13/2016
Last updated
05/13/2016
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