Individual
KENNETH OSELEONONMEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2610 SMOOTH ALDER ST N APT 207, GAMBRILLS, MD 21054-1367
(301) 476-3278
Mailing address
2610 SMOOTH ALDER ST N APT 207, GAMBRILLS, MD 21054-1367
(301) 476-3278
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/12/2023
Last updated
04/12/2023
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