Individual
ABISOLA KAFILAT ADEJAYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8316 GREEN GRASS RD, LAUREL, MD 20724-3909
(803) 463-4940
Mailing address
8316 GREEN GRASS RD, LAUREL, MD 20724-3909
(803) 463-4940
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
NA0000813083
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA0000813083
NURSING ASSISTANT
DC
Enumeration date
06/06/2021
Last updated
06/06/2021
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