Individual
AYODELE OMOTEYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
HHA
Contact information
Practice address
8900 CRANDALL RD, LANHAM, MD 20706-1925
(202) 709-2532
Mailing address
8900 CRANDALL RD, LANHAM, MD 20706-1925
(202) 709-2532
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA10289
DC
Other
Enumeration date
04/09/2014
Last updated
04/09/2014
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