Individual
DR. MARTINA O OGUNYILEKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D
Contact information
Practice address
6635 RITCHIE HWY, GLEN BURNIE, MD 21061-2361
(410) 766-3070
Mailing address
2113 SAGINAW DR, COATESVILLE, PA 19320-3096
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG002778
PA
Other
Enumeration date
07/02/2013
Last updated
07/02/2013
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