Individual
REBECA ODUAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9189 GOODLUCK RD, APT 13, LANHAM, MD 20706
(404) 552-5622
Mailing address
9189 GOODLUCK RD, APT 13, LANHAM, MD 20706
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN1005883
DC
Other
Enumeration date
10/21/2014
Last updated
10/21/2014
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