Individual
MRS. BOLUDE ADEMOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6856 EASTERN AVE NW, WASHINGTON, DC 20012-2165
(202) 545-6980
(877) 839-6747
Mailing address
6312 INWOOD ST, CHEVERLY, MD 20785-3132
(240) 755-5103
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
LPN1003743
DC
Other
Enumeration date
03/11/2015
Last updated
03/11/2015
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