Individual
ISAAC MAYOWA IX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3211 75TH AVE APT 405, LANDOVER, MD 20785-1932
(240) 554-7804
Mailing address
3211 75TH AVE, LANDOVER, MD 20785-1931
(240) 554-7804
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
HHA9644
DC
374U00000X
Home Health Aide
Primary
HHA9644
DC
Other
Enumeration date
05/29/2014
Last updated
05/29/2014
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