Individual
MR. FRED FEYIBUNMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10005 GREENBELT RD, APT 102, LANHAM, MD 20706-2229
(240) 643-8951
Mailing address
10005 GREENBELT RD, APT 102, LANHAM, MD 20706-2229
(301) 454-9286
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA12741
DC
376K00000X
Nurse's Aide
NA0000810600
DC
Other
Enumeration date
05/05/2017
Last updated
05/05/2017
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