Individual
MOSEBOLATAN OLANIRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5440 85TH AVE APT T2, NEW CARROLLTON, MD 20784-3120
(301) 732-0632
Mailing address
5440 85TH AVE APT T2, NEW CARROLLTON, MD 20784-3120
(301) 732-0632
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
01/09/2017
Last updated
01/09/2017
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