Individual
SUMBO SARAH ADYEMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15009 DAHLIA DR, BOWIE, MD 20721-3089
(301) 830-8511
Mailing address
15009 DAHLIA DR, BOWIE, MD 20721-3089
(301) 830-8511
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5845009
—
MD
Enumeration date
11/08/2014
Last updated
11/08/2014
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