Organization
HILLYSTAR LLC
Active
Other names
hillystar, hillystar llc
Organization subpart
No
Provider details
NPI number
Authorized official
TOLULOPE DIRISU MD (MD)
(301) 202-6375
Entity
Organization
Contact information
Practice address
5800 ANNAPOLIS RD # H2, BLADENSBURG, MD 20710-2005
(202) 840-3655
Mailing address
5802 ANNAPOLIS RD APT 203, BLADENSBURG, MD 20710-2015
(202) 840-3655
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1508538570
—
MD
Enumeration date
09/29/2021
Last updated
09/29/2021
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