Individual
MR. OLUWAFEMI IKUSIKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
C.O.T.A
Contact information
Practice address
8803 BAILEYS CT, PERRY HALL, MD 21128-8815
(443) 621-1931
Mailing address
8803 BAILEYS CT, PERRY HALL, MD 21128-8815
Taxonomy
Speciality
Code
Description
License number
State
282E00000X
Long Term Care Hospital
A02081
MD
282N00000X
General Acute Care Hospital
A02081
MD
314000000X
Skilled Nursing Facility
Primary
A02081
MD
Other
Enumeration date
04/25/2014
Last updated
04/25/2014
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