Individual
JANET RANTI AIYEGBUSI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HAIR LOSS SPECIALIST
Contact information
Practice address
9171 CENTRAL AVE, CAPITOL HEIGHTS, MD 20743-3837
(301) 627-3707
Mailing address
9300 FRENSHAM CT, LAUREL, MD 20708-2855
(202) 907-5998
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
420453
MD
Other
Enumeration date
11/16/2020
Last updated
11/16/2020
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