Individual
MODINAT MOYOSORE ADEDOYIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5408 LARISSA CT, VIRGINIA BEACH, VA 23464-0003
(757) 452-7230
Mailing address
5408 LARISSA CT, VIRGINIA BEACH, VA 23464-0003
(757) 452-7230
Taxonomy
Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
Primary
—
—
Other
Enumeration date
05/12/2022
Last updated
05/12/2022
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