Organization
ATOFOM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TEMITOPE ADEBUSOYE NP (OWNER)
(301) 675-9644
Entity
Organization
Contact information
Practice address
2108 WOODVALE LN, BOWIE, MD 20721-4104
(301) 675-9644
Mailing address
2108 WOODVALE LN, BOWIE, MD 20721-4104
(301) 675-9644
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/05/2022
Last updated
10/05/2022
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