Individual
BOSE KEMI LAWAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5513 ILLINOIS AVE NW, WASHINGTON, DC 20011-2937
(202) 882-9310
Mailing address
12716 WEDGEDALE CT, UPPER MARLBORO, MD 20772-6413
(240) 614-3991
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
A00127752
MD
Other
Enumeration date
02/03/2021
Last updated
02/03/2021
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