Healthcare Provider Details

I. General information

NPI: 1720976038
Provider Name (Legal Business Name): CHRISTINA OCLOO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/25/2025
Last Update Date: 02/03/2026
Certification Date: 02/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2996 BEECH BOTTOM RD
LAUREL MD
20724-1980
US

IV. Provider business mailing address

9009 BELINDA BLVD
UPPER MARLBORO MD
20772-2577
US

V. Phone/Fax

Practice location:
  • Phone: 301-513-8575
  • Fax:
Mailing address:
  • Phone: 202-701-7303
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License NumberR245115
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: