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Individual

JOSHUA ADETAYO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
504 CARROLL WALK AVE, FREDERICK, MD 21701-6943
(301) 473-6232
(240) 667-7771
Mailing address
504 CARROLL WALK AVE, FREDERICK, MD 21701-6943
(301) 473-6232
(240) 667-7771

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R224016
MD

Other

Enumeration date
07/19/2022
Last updated
03/27/2024
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