Individual
FUNMI ANN OBASEKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
HHA, LPN
Contact information
Practice address
9785 GOOD LUCK RD, APT 7, LANHAM, MD 20706-3341
(240) 988-1753
Mailing address
9785 GOODLUK ROAD, APT 7, LANHAM, MD 20706-3341
(240) 988-1753
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN1006320
DC
376K00000X
Nurse's Aide
A00061744
MD
Other
Enumeration date
02/01/2013
Last updated
04/05/2017
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