Individual
ADEOLA ESAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
13609 AVEBURY DR APT 12, LAUREL, MD 20708-3445
(757) 419-6833
Mailing address
13609 AVEBURY DR APT 12, LAUREL, MD 20708-3445
(757) 419-6833
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/11/2013
Last updated
07/26/2023
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