Individual
BOLANLE ADISA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7713 BENDER ROAD, HYATTSVILLE, MD 20785
(240) 705-6219
Mailing address
7713 BENDER ROAD, HYATTSVILLE, MD 20785
(240) 705-6219
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
01/15/2013
Last updated
01/15/2013
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