Individual
MOSUN OLUSANYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7918 JONES BRANCH DR STE 400, MC LEAN, VA 22102-3319
(703) 946-1664
Mailing address
7918 JONES BRANCH DR STE 400, MC LEAN, VA 22102-3319
(703) 946-1664
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HCO-212487
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HCO-212487
HOME CARE ORGANIZATION
VA
Enumeration date
01/19/2021
Last updated
03/01/2021
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