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Organization

RADLAN HEALTHCARE SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
OMOLARA OMOLOLA AMOSU FNP (OWNER)
(518) 312-4705
Entity
Organization

Contact information

Practice address
11502 IAGER BLVD, FULTON, MD 20759-2653
(240) 441-9959
Mailing address
11502 IAGER BLVD, FULTON, MD 20759-2653
(240) 441-9959

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary

Other

Enumeration date
11/17/2025
Last updated
11/21/2025
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