Individual
EBUNOLUWA OLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7320 MORRISON DR, GREENBELT, MD 20770-2446
(240) 467-0806
Mailing address
7320 MORRISON DR, GREENBELT, MD 20770-2446
(240) 467-0806
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN1005505
DC
Other
Enumeration date
12/26/2015
Last updated
12/26/2015
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