Individual
ADEOLA O OTINNIYI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4130 HUNT PL NE, WASHINGTON, DC 20019-3565
(202) 388-4300
Mailing address
8059 GABRIELS CT, JESSUP, MD 20794-3959
(240) 877-3129
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD-10272877194
DRIVER
MD
Enumeration date
02/27/2023
Last updated
02/27/2023
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