Individual
AKINOLA FOWOWE SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11405 VILLA CT, UPPER MARLBORO, MD 20774-5702
(240) 413-5681
Mailing address
11405 VILLA CT, UPPER MARLBORO, MD 20774-5702
(240) 413-5681
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA11847
DC
Other
Enumeration date
03/10/2016
Last updated
03/10/2016
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