Individual
CATHERINE ODUBANJO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4815 PRINCE GEORGES AVE STE 204, BELTSVILLE, MD 20705-1968
(301) 399-6432
Mailing address
12329 PREAKNESS CIRCLE LN, CLARKSVILLE, MD 21029-1227
(301) 399-6432
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
—
Enumeration date
08/06/2018
Last updated
08/06/2018
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