Individual
ABLAWA AJAVON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3521 OTIS ST, MOUNT RAINIER, MD 20712-2158
(240) 505-8928
Mailing address
3406 NEWTON ST APT 6, MOUNT RAINIER, MD 20712-2126
(240) 505-8928
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
09/29/2015
Last updated
04/22/2018
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