Individual
OMOTOLANI SIWAJUOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
1517 RAY RD APT 201, HYATTSVILLE, MD 20782-2550
(240) 470-9514
Mailing address
1517 RAY RD APT 201, HYATTSVILLE, MD 20782-2550
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
MD
Other
Enumeration date
03/27/2025
Last updated
03/27/2025
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