Individual
ADEOLA GOODLUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13227 5TH ST, BOWIE, MD 20720-3609
(240) 828-9504
Mailing address
13227 5TH ST, BOWIE, MD 20720-3609
(240) 828-9504
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN200001468
DC
Other
Enumeration date
10/02/2023
Last updated
10/02/2023
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