Individual
AKINYELE OBASOLA FATOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7603 COVENT GARDENS CT, HYATTSVILLE, MD 20785-5853
(202) 386-2719
Mailing address
7603 COVENT GARDENS CT, HYATTSVILLE, MD 20785-5853
(202) 386-2719
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA10380
DC
Other
Enumeration date
04/24/2014
Last updated
04/24/2014
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