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Individual

WENDABO AMINATA OUEDRAOGO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1232 RACE RD, ROSEDALE, MD 21237-2351
(240) 305-8751
Mailing address
14500 WEXHALL TER, BURTONSVILLE, MD 20866-1908
(240) 305-8751

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
187611
MD

Other

Enumeration date
02/28/2020
Last updated
02/28/2020
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