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Individual

SEUN OYINKANSOLA OGUNSANYA AWATEFE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
6805 RIVERDALE RD APT 3, RIVERDALE, MD 20737-1816
(202) 415-4824
Mailing address
4785 DORSEY HALL DR STE 122, ELLICOTT CITY, MD 21042-7927
(202) 415-4824

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary

Other

Enumeration date
03/24/2021
Last updated
03/24/2021
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