Individual
ADIJATU KUBURATU EKIYOYO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4705 67TH AVENUE, HYATTSVILL, MD 20784
(240) 481-9038
Mailing address
4705 67TH AVENUE, HYATTSVILL, MD 20784
(240) 481-9038
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
07/09/2012
Last updated
07/09/2012
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