Individual
LATIFAT OGUNWEMIMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9319 HOBART ST, SPRINGDALE, MD 20774-5413
(240) 988-7859
(410) 946-2010
Mailing address
9319 HOBART ST, SPRINGDALE, MD 20774-5413
(240) 988-7859
(410) 946-2010
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
374U00000X
Home Health Aide
HHA200002122
DC
Other
Enumeration date
03/08/2021
Last updated
04/11/2024
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