Individual
ADEDAYO AUGUSTINE FAPONLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8806 GOLDEN TREE LN, ESSEX, MD 21221-3221
(202) 805-2797
(443) 559-6195
Mailing address
8806 GOLDEN TREE LN, ESSEX, MD 21221-3221
(202) 805-2797
(443) 559-6195
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
R4315
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150232800
—
MD
Enumeration date
03/12/2020
Last updated
03/12/2020
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