Individual
MR. BILIAMIN OLATUNBOSUN FAGBEWESA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3807 56TH AVE, HYATTSVILLE, MD 20784-1202
(240) 898-8172
Mailing address
3807 56TH AVE, HYATTSVILLE, MD 20784-1202
(240) 898-8172
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
DC
Other
Enumeration date
01/15/2013
Last updated
01/15/2013
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