Individual
NIMOTA Y OLUSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9502 MUIRKIRK RD, LAUREL, MD 20708-2751
(240) 704-0631
Mailing address
9502 MUIRKIRK RD, LAUREL, MD 20708-2751
(240) 704-0631
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
04/20/2012
Last updated
04/20/2012
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