Individual
ABIOLA ADISA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
600 LIMERICK WAY, LANDOVER, MD 20785-5911
(240) 559-7345
Mailing address
600 LIMERICK WAY, LANDOVER, MD 20785-5911
(240) 559-7345
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA11252
DC
Other
Enumeration date
05/06/2015
Last updated
04/16/2018
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