Individual
MRS. YEWANDE OLASIMBO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1315 BRETON DR, ELDERSBURG, MD 21784-6137
(410) 552-8289
Mailing address
1315 BRETON DR, SYKESVILLE, MD 21784-6137
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0004996
MD
Other
Enumeration date
02/13/2013
Last updated
02/13/2013
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