Individual
SHOTUNDE SAMUEL TEJUOSHO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1220 12TH ST SE STE G35, WASHINGTON, DC 20003-3738
(202) 544-8090
(202) 544-8091
Mailing address
511 HARRY TRUMAN DR APT 105, LARGO, MD 20774-2074
(240) 714-2334
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
374U00000X
Home Health Aide
A00167290
MD
376K00000X
Nurse's Aide
A00167290
MD
Other
Enumeration date
09/16/2020
Last updated
06/02/2023
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