Individual
CALEB ADEMILOYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9601 PULASKI PARK DR, MIDDLE RIVER, MD 21220-1409
(410) 933-5678
Mailing address
5636 WESTGATE RD, LANHAM, MD 20706-4130
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R208310
MD
Other
Enumeration date
09/10/2019
Last updated
02/13/2023
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