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Individual

MRS. MARYROSE OTUGO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
14301 WILSHIRE CT, LAUREL, MD 20707-9512
(301) 256-5504
Mailing address
14301 WILSHIRE CT, LAUREL, MD 20707-9512
(301) 256-5504

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R168375
MD

Other

Enumeration date
05/16/2019
Last updated
05/16/2019
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