Individual
MORIOHUNMUBO GRACE OMONAYIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
8024 ALLOWAY LN, BELTSVILLE, MD 20705-6323
(301) 256-6646
Mailing address
8024 ALLOWAY LN, BELTSVILLE, MD 20705-6323
(301) 256-6646
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R161997
MD
363LF0000X
Family Nurse Practitioner
R161997
MD
Other
Enumeration date
01/07/2018
Last updated
05/01/2024
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