Individual
MARDOCHEE OGU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4203 55TH AVE, BLADENSBURG, MD 20710-1507
(202) 492-7231
Mailing address
4203 55TH AVE, BLADENSBURG, MD 20710-1507
(202) 492-7231
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
06/20/2016
Last updated
06/20/2016
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