ADEMOLA BISIRIYU

PRINCE FREDERICK, MD
NPI1649955139
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MD  R220757)
Enumeration Date2023-06-21
Last Update Date2024-08-07
Business Address
ADEMOLA BISIRIYU
489 MAIN ST
PRINCE FREDERICK, MD 20678-3187
Phone number: 410-535-3047
Mailing Address
ADEMOLA BISIRIYU
489 MAIN ST STE 202
PRINCE FREDERICK, MD 20678-3188
Phone number: