Individual
MR. ABOLAJI JOHN ADEFUYE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6505 LANDOVER RD APT T3, CHEVERLY, MD 20785-1417
(301) 257-4788
Mailing address
6505 LANDOVER RD APT T3, CHEVERLY, MD 20785-1417
(301) 257-4788
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA200001263
DC
Other
Enumeration date
09/10/2021
Last updated
09/10/2021
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