Individual
BISOLA GRACE OLORUNFEMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
8612 GLENARDEN PKWY, GLENARDEN, MD 20706-1522
(240) 815-2258
Mailing address
8612 GLENARDEN PKWY, GLENARDEN, MD 20706-1522
(240) 815-2258
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA14486
DC
376K00000X
Nurse's Aide
HHA14486
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
14486
—
DC
Enumeration date
06/12/2019
Last updated
06/25/2019
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