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Individual

DR. EKENESENARIENRIEN CYNTHIA OMOKARO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1221 MERCANTILE LN, UPPER MARLBORO, MD 20774-5374
(518) 380-8859
Mailing address
10509 LOUISVILLE LN, UPPER MARLBORO, MD 20774-6048
(518) 380-8859

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
62923
MS
207Q00000X
Family Medicine Physician
Primary
D86562
MD

Other

Enumeration date
05/02/2014
Last updated
06/19/2021
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