Individual
ADEWOLE ALABI OGUNDEPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPTA
Contact information
Practice address
831 UNIVERSITY BLVD E, #14, SILVER SPRING, MD 20903-2916
(301) 445-3192
Mailing address
9747 GOOD LUCK RD, APT 11, SEABROOK, MD 20706-3323
(301) 996-6289
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
LPTA1998
MD
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R153729
MD
Other
Enumeration date
06/13/2007
Last updated
07/11/2023
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