Individual
JELILI ADEMOLA SANNI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3814 64TH AVENUE APT #204, LANDOVERHILLS, MD 20784
(202) 702-1280
Mailing address
3814 64TH AVENUE APT #204, LANDOVERHILLS, MD 20784
(202) 702-1280
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
11/06/2012
Last updated
11/06/2012
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