Individual
GODWIN O AYOLE SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9900 WASHINGTON BLVD N, #411, LAUREL, MD 20723-1971
(940) 595-9425
Mailing address
9900 WASHINGTON BLVD, N, #411, LAUREL, MD 20723
(940) 595-9425
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP47096
MD
Other
Enumeration date
05/28/2015
Last updated
05/28/2015
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