Organization
MATOBI FAMILY HEALTHCARE,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSSAN ONONAKU NURSE PRACTITIONER (CRNP)
(240) 423-2043
Entity
Organization
Contact information
Practice address
7350 VAN DUSEN RD STE 340, LAUREL, MD 20707-5264
(240) 423-2043
Mailing address
12203 LOCH LYNN CT, LAUREL, MD 20708-2409
(240) 423-2043
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
06/24/2019
Last updated
06/24/2019
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