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Individual

MR. TYRONE OSILESI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
22648 GLENN DR STE 304, STERLING, VA 20164-4448
(571) 732-6800
Mailing address
22648 GLENN DR STE 304, STERLING, VA 20164-4448
(571) 732-6800

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
253Z00000X
In Home Supportive Care Agency
Primary
VA
374U00000X
Home Health Aide

Other

Enumeration date
06/17/2021
Last updated
01/20/2022
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