Individual
BUSOLA OMOLARA ANIFOWOSHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7090 SAMUEL MORSE DR, COLUMBIA, MD 21046-3442
(888) 344-5977
Mailing address
7120 SAMUEL MORSE DR, COLUMBIA, MD 21046-3419
(888) 344-5977
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/16/2025
Last updated
04/16/2025
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