Individual
OMOLARA AYEYEMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9869 GOOD LUCK RD APT T1, LANHAM, MD 20706-3200
(929) 451-4928
Mailing address
9869 GOOD LUCK RD APT T1, LANHAM, MD 20706-3200
(929) 451-4928
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
A00176909
MD
Other
Enumeration date
04/06/2021
Last updated
04/06/2021
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