Individual
ADEWALE ROBIU IDRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7103 AQUINAS AVE, UPPER MARLBORO, MD 20772-4287
(301) 732-2413
Mailing address
7103 AQUINAS AVE, UPPER MARLBORO, MD 20772-4287
(301) 732-2413
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
HHA200002862
DC
171M00000X
Case Manager/Care Coordinator
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Other
Enumeration date
07/17/2023
Last updated
09/25/2024
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