Individual
AYODEJI ODUSANYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3705 ENDICOTT PL, SPRINGDALE, MD 20774
(240) 691-2195
Mailing address
3705 ENDICOTT PL, SPRINGDALE, MD 20774-5426
(240) 691-2195
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
04/04/2016
Last updated
11/05/2019
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