Individual
MR. IDOWU EMMANUEL OMOTOSHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9127 EDMONSTON TER, #202, GREENBELT, MD 20770-1543
(240) 535-2955
Mailing address
4019 BRIDLE RIDGE RD, UPPER MARLBORO, MD 20772-8095
(240) 535-2955
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
HHA8968
DC
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
05/01/2013
Last updated
09/26/2018
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