Individual
ADESEWA ADESOLA OTINNIYI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4660 MARTIN LUTHER KING JR AVE SW STE A2, WASHINGTON, DC 20032-4933
(202) 318-0179
Mailing address
2909 BURROWS LN, ELLICOTT CITY, MD 21043-3682
(240) 877-3362
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
O-350-031-031-972
DRIVERS
MD
Enumeration date
02/27/2023
Last updated
11/24/2025
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