Individual
EBUNOLUWA LEAVELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9415 RIDGELY AVE, PARKVILLE, MD 21234-3316
(443) 449-1668
Mailing address
9415 RIDGELY AVE, PARKVILLE, MD 21234-3316
(443) 449-1668
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R231604
MD
Other
Enumeration date
02/18/2025
Last updated
02/18/2025
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