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Individual

FOLASADE AYOKUNNU OMIYALE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
6325 64TH AVE APT 2, RIVERDALE, MD 20737-1515
(202) 529-6510
Mailing address
6325 64TH AVE APT 2, RIVERDALE, MD 20737-1515
(202) 529-6510

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN500020477
DC

Other

Enumeration date
03/04/2025
Last updated
03/04/2025
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