Modupe Omogoriola
Modupe Omogoriola is a Home Health Aide in Bowie, Maryland. Licensed in District of Columbia. Registered with an NPI since 2024.
- Licensed in
- DC
- In the registry since
- 2024
- Specialties on file
- 2
Practice location Address checks out
11401 Walpole CtBowie, MD 20720-3425
Phone: (571) 216-0648
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Specialties & licences
| Home Health Aide (primary) | Taxonomy 374U00000X · Licence 200003204 (DC) |
|---|---|
| Case Manager/Care Coordinator | Taxonomy 171M00000X |
Record details
| NPI number | 1265203368 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | January 9, 2024 |
| Last updated in NPPES | September 16, 2024 |
| Certification date | September 16, 2024 |
| Mailing address | 11401 Walpole Ct, Bowie, MD 20720-3425 |
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