Individual
OSINACHI SHAWN NWAOBILOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12020 AUGUSTA DR, GLENN DALE, MD 20769-9305
(301) 281-5949
Mailing address
12020 AUGUSTA DR, GLENN DALE, MD 20769-9305
(301) 281-5949
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CNA20202903
MD
Other
Enumeration date
12/21/2020
Last updated
12/21/2020
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