Individual
LAIDE AKINBOBOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9103 WOODMORE CENTER DR # 634, LANHAM, MD 20706-1653
(301) 442-7882
Mailing address
9103 WOODMORE CENTER DR # 634, LANHAM, MD 20706-1653
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R223501
MD
Other
Enumeration date
04/05/2022
Last updated
04/05/2022
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