Individual
MARTINA OMOLOLA TAYLORCAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4301 JONES BRIDGE RD, BETHESDA, MD 20814-4712
(757) 630-0922
Mailing address
4301 JONES BRIDGE RD, BETHESDA, MD 20814-4712
(757) 630-0922
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
0001204468
VA
Other
Enumeration date
11/01/2017
Last updated
11/01/2017
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