Individual
SAMUEL ABAYOMI EKUNDAYO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4164 MISSION DR APT C, INDIANAPOLIS, IN 46254-3435
(281) 965-8357
Mailing address
4164 MISSION DR APT C, INDIANAPOLIS, IN 46254-3435
(281) 965-8357
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
24-017003-1
IN
Other
Enumeration date
08/07/2024
Last updated
08/07/2024
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