Individual
OLUWAFUNMBI FASINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4265 58TH AVE, APT T1, BLADENSBURG, MD 20710-1922
(240) 838-9392
Mailing address
723 FARAWAY CT, BOWIE, MD 20721-1824
(240) 838-9392
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
374U00000X
Home Health Aide
HHA12346
DC
Other
Enumeration date
10/14/2016
Last updated
10/25/2023
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