Individual
MRS. MONISOLA A ADEYEMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1400 MERCANTILE LN, SUITE 180, LARGO, MD 20774-5341
(301) 925-7022
(301) 925-4463
Mailing address
6107 BOX OAK CT, LANHAM, MD 20706-2386
(301) 925-7022
(301) 925-4463
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R105387
MD
261Q00000X
Clinic/Center
R105387
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
810600200
—
MD
Enumeration date
12/12/2006
Last updated
01/23/2018
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