Individual
BOLA O SULMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10402 MEADOWRIDGE CT, BOWIE, MD 20721-2860
(240) 533-5657
Mailing address
10402 MEADOWRIDGE CT, BOWIE, MD 20721-2860
(240) 533-5657
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
01/07/2013
Last updated
01/07/2013
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