Individual
OLUWASEUN GBOLABO AJOSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
15966 LOWDERMILK PL, HAYMARKET, VA 20169-2752
(443) 938-0460
Mailing address
15966 LOWDERMILK PL, HAYMARKET, VA 20169-2752
(443) 938-0460
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA200003170
DC
Other
Enumeration date
09/18/2023
Last updated
09/18/2023
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