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Individual

REBECCA YETUNDE OMOTAYO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3418 DODGE PARK RD APT 304, HYATTSVILLE, MD 20785-2039
(240) 898-7405
Mailing address
3418 DODGE PARK RD APT 304, HYATTSVILLE, MD 20785-2039
(240) 898-7405

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
DC
376K00000X
Nurse's Aide
Primary
0000606814
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
HHA11359
HHA
DC
01
NA0000606814
NURSING ASSISTANT
DC
Enumeration date
10/01/2015
Last updated
10/19/2024
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