Individual
OPHELIA O OBENG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
525 N WOLFE ST, BALTIMORE, MD 21205-2110
(703) 475-8717
Mailing address
525 N WOLFE ST, BALTIMORE, MD 21205-2110
(703) 475-8717
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001219118
VA
367500000X
Certified Registered Nurse Anesthetist
0001219118
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
RN719408
PA
Other
Enumeration date
06/28/2021
Last updated
08/08/2024
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