Individual
IDRIS OZEMOYA GARUBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MBA
Contact information
Practice address
6213 64TH AVE APT 1, RIVERDALE, MD 20737-2944
(301) 437-0845
Mailing address
6213 64TH AVE APT 1, RIVERDALE, MD 20737-2944
(301) 437-0845
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
A00186096
MD
Other
Enumeration date
01/09/2020
Last updated
01/09/2020
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