Individual
SAMSON OLOWE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PRESIDENT/CEO
Contact information
Practice address
605 AVIS DRIVE, UPPER MARLBORO, MD 20774
(301) 221-7553
(301) 324-0897
Mailing address
605 AVIS DR, UPPER MARLBORO, MD 20774-2283
(301) 221-7553
(301) 324-0897
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP34789
MD
Other
Enumeration date
08/17/2015
Last updated
08/17/2015
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