Individual
BOLANLE SILIFAT KASSIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3402 55TH AVE APT 204, HYATTSVILLE, MD 20784-1016
(404) 509-6668
Mailing address
3402 55TH AVE APT 204, HYATTSVILLE, MD 20784-1016
(404) 509-6668
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA15360
DC
Other
Enumeration date
02/11/2021
Last updated
02/11/2021
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