Individual
KUDIRAT KOLETOWO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1775 DUTCH VILLAGE DR, LANDOVER, MD 20785-4169
(202) 705-5303
Mailing address
1775 DUTCH VILLAGE DR, LANDOVER, MD 20785-4169
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA9749
DC
Other
Enumeration date
05/03/2016
Last updated
05/03/2016
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