Individual
TITILAYO IRETIOLA FASINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3235 75TH AVE APT 202, LANDOVER, MD 20785-1928
(240) 838-9392
Mailing address
3235 75TH AVE APT 202, LANDOVER, MD 20785-1928
(346) 218-6314
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
12/28/2019
Last updated
10/25/2023
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