Individual
COMFORT B OGUNLOWO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5412 OLD COURT RD, RANDALLSTOWN, MD 21133-5104
(443) 985-1614
Mailing address
9535 WESLAND CIR, RANDALLSTOWN, MD 21133-2040
(443) 985-1614
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R208424
MD
Other
Enumeration date
05/03/2023
Last updated
05/03/2023
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