Individual
RAHMOT IBIWUNMI RAJI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5 GARRETT AVE, LA PLATA, MD 20646-5960
(240) 421-4164
Mailing address
3652 CLAIRTON ST, WALDORF, MD 20603-7004
(240) 421-4164
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R243611
MD
Other
Enumeration date
05/07/2024
Last updated
05/07/2024
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