MODUPE ANTHONY

LA PLATA, MD
NPI1952136178
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MD  R219754)
Enumeration Date2024-09-06
Last Update Date2025-12-10
Business Address
MODUPE ANTHONY FNP-BC
118 LA GRANGE AVE
LA PLATA, MD 20646-0198
Phone number: 240-349-2536
Mailing Address
MODUPE ANTHONY FNP-BC
118 LA GRANGE AVE
LA PLATA, MD 20646-0198
Phone number: 240-349-2536