Individual
MR. ANTONY OTIENO ODHIAMBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1606 UNIVERSITY BLVD W, SILVER SPRING, MD 20902-3649
(240) 815-3480
Mailing address
1606 UNIVERSITY BLVD W, SILVER SPRING, MD 20902-3649
(240) 815-3480
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
MD
374U00000X
Home Health Aide
Primary
HHA13021
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0351067668254
DRIVE'S LICENSE NO
MD
Enumeration date
09/07/2017
Last updated
02/04/2026
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