Organization
CLINIVA PRIMARY CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADEJOKE SIJUWADE CRNP (CEO)
(240) 931-0658
Entity
Organization
Contact information
Practice address
5999 HARPERS FARM RD STE W230, COLUMBIA, MD 21044-3025
(240) 931-0658
(240) 732-0240
Mailing address
5999 HARPERS FARM RD STE W230, COLUMBIA, MD 21044-3025
(240) 931-0658
(240) 732-0240
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/23/2024
Last updated
07/23/2024
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