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Individual

HAKIM OGUNSANYA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CRNP

Contact information

Practice address
12001 MARGARET CT, MARRIOTTSVILLE, MD 21104-1443
(301) 906-7349
Mailing address
12001 MARGARET CT, MARRIOTTSVILLE, MD 21104-1443
(301) 906-7349

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R184091
MD

Other

Enumeration date
03/15/2016
Last updated
11/16/2020
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