Individual
ADEBOLA ADERETI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19 CHAPMANVIEW CT, RANDALLSTOWN, MD 21133-3503
(240) 603-0890
Mailing address
19 CHAPMANVIEW CT, RANDALLSTOWN, MD 21133-3503
(240) 603-0890
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000000000
—
MD
05
—
0000000000
—
MD
Enumeration date
01/09/2018
Last updated
06/16/2018
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