Individual
ELIJAH AWUSINU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12608 MILLSTREAM DR, BOWIE, MD 20715-1617
(240) 854-8709
Mailing address
12608 MILLSTREAM DR, BOWIE, MD 20715-1617
(240) 854-8709
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA200003385
DC
Other
Enumeration date
01/09/2024
Last updated
01/09/2024
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