Individual
MR. JOSIAH O KOLEOSHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6509 LANDING WAY, HYATTSVILLE, MD 20784-4621
(301) 917-4484
Mailing address
6509 LANDING WAY, HYATTSVILLE, MD 20784-4621
(301) 917-4484
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
09/29/2012
Last updated
09/29/2012
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