Individual
AKINJIDE ABAS AKINWALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
630 FAIRVIEW AVE, TAKOMA PARK, MD 20912-5954
(240) 817-6036
Mailing address
630 FAIRVIEW AVE, TAKOMA PARK, MD 20912-5954
(240) 817-6036
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HHA15506
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A254038029362
MVA
MD
Enumeration date
01/05/2021
Last updated
01/05/2021
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