Individual
ITESEMEKHONA C OGUNBASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1608 BRIGHTSEAT RD APT 102, HYATTSVILLE, MD 20785-3762
(302) 550-0844
Mailing address
1608 BRIGHTSEAT RD APT 102, HYATTSVILLE, MD 20785-3762
(302) 550-0844
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
02/09/2023
Last updated
02/09/2023
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