Organization
MAI HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MAIMUNA OLAGOKE CRNP (FAMILY NURSE PRACTITIONER)
(301) 928-8785
Entity
Organization
Contact information
Practice address
14553 LONDON LN, BOWIE, MD 20715-2579
(301) 928-8785
Mailing address
14553 LONDON LN, BOWIE, MD 20715-2579
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
09/19/2017
Last updated
09/19/2017
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