Individual
BOLALANLE GBADEGESIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8882 CHERRY LN, LAUREL, MD 20708-1117
(240) 593-5288
Mailing address
8882 CHERRY LN, LAUREL, MD 20708-1117
(240) 593-5288
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
12503
DC
Other
Enumeration date
11/03/2016
Last updated
11/03/2016
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