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Individual

CAROLINE OGUNMUYIWA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
REGISTERED NURSE

Contact information

Practice address
12212 FAWNHAVEN CT, ELLICOTT CITY, MD 21042-1323
(202) 531-5924
Mailing address
12212 FAWNHAVEN CT, ELLICOTT CITY, MD 21042-1323
(202) 531-5924

Taxonomy

Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
R206341
MD
163WH0200X
Home Health Registered Nurse
R206341
MD

Other

Enumeration date
09/26/2024
Last updated
09/26/2024
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