Individual
ADETUNJI DAVIS ELETU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9400 STONEWALL RD APT A1, MANASSAS, VA 20110-5539
(571) 505-0466
Mailing address
9400 STONEWALL ROAD, #A1, MANASSAS, VA 20110
(571) 505-0466
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
S5103421
VA
Other
Enumeration date
06/11/2014
Last updated
06/11/2014
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