Individual
AYODEJI ANIFOWOSE ABU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1209 N EAST ST STE A, FREDERICK, MD 21701-4662
(443) 308-6810
Mailing address
1209 N EAST ST STE A, FREDERICK, MD 21701-4662
(443) 308-6810
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
09/24/2024
Last updated
09/24/2024
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