Individual
BANKOLE OLUDARE EDUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
HHA
Contact information
Practice address
12404 ROCHINO CT, GLENN DALE, MD 20769-9047
(240) 470-2123
Mailing address
12404 ROCHINO CT, GLENN DALE, MD 20769-9047
(240) 470-2123
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA200002651
DC
Other
Enumeration date
06/05/2023
Last updated
06/05/2023
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