Individual
BAMIDELE OMOBO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
17008 USHER PL, UPPER MARLBORO, MD 20772-3443
(240) 552-2638
Mailing address
17008 USHER PL, UPPER MARLBORO, MD 20772-3443
(240) 552-2638
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
10/30/2019
Last updated
12/02/2019
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