Individual
GRACE AJAYI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5202 VARNUM ST, BLADENSBURG, MD 20710-1338
(347) 834-0641
Mailing address
5202 VARNUM ST, BLADENSBURG, MD 20710-1338
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
A00073246
MD
Other
Enumeration date
05/23/2014
Last updated
05/23/2014
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