Individual
HERBERT ABIFOLA ISHOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2314 BRIGHTSEAT RD APT 6, LANDOVER, MD 20785-3554
(312) 792-5583
Mailing address
2314 BRIGHTSEAT RD APT 6, LANDOVER, MD 20785-3554
(312) 792-5583
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA200004569
DC
Other
Enumeration date
01/06/2025
Last updated
01/06/2025
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