Individual
KOLAWOLE ADEGBENGA AWOSANYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4645 NANNIE HELEN BURROUGHS AVE NE, WASHINGTON, DC 20019-3622
(202) 733-4904
Mailing address
6503 W FOREST RD APT 3, HYATTSVILLE, MD 20785-1737
(301) 204-6387
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/10/2023
Last updated
04/10/2023
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