Individual
IDIYAT TITILAYO RAJI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4201 OGLETHORPE ST, 3, HYATTSVILLE, MD 20781-1563
(301) 437-8068
Mailing address
4201 OGLETHORPE ST, 3, HYATTSVILLE, MD 20781-1563
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
06/28/2012
Last updated
06/28/2012
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