Individual
OLUMIYIWA SALLY FAPOHUNDA II
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9024 OLD BRANCH AVE APT 8, CLINTON, MD 20735-2594
(240) 204-1486
Mailing address
9024 OLD BRANCH AVE APT 8, CLINTON, MD 20735-2594
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
08/24/2018
Last updated
08/24/2018
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