Individual
LALEKAN BANJO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
HHA
Contact information
Practice address
7929 GRANT DR, GLENARDEN, MD 20706-1727
(202) 545-0935
(202) 545-0176
Mailing address
7929 GRANT DR, GLENARDEN, MD 20706-1727
(202) 545-0935
(202) 545-0176
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
10/23/2012
Last updated
10/23/2012
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