Individual
BOLADE SHERIFAT ILUFOYE- OJOMU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3401 DODGE PARK RD, HYATTSVILLE, MD 20785-2004
(347) 571-4136
Mailing address
3401 DODGE PARK RD, HYATTSVILLE, MD 20785-2004
(347) 571-4136
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A00172023
—
MD
Enumeration date
10/06/2020
Last updated
10/06/2020
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