Individual
OMOLARA O OJO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
VA
Contact information
Practice address
11100 BILLINGSLEY RD, WALDORF, MD 20602-3400
(240) 754-6100
Mailing address
124 PHILRAY CT APT SUITE, NORTH CHESTERFIELD, VA 23236-2761
(804) 305-2765
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0002063278
VA
Other
Enumeration date
09/18/2023
Last updated
09/18/2023
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