OLUMIDE EBENEZER OLUSANYA

LAUREL, MD
NPI1720639693
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy374U00000X Home Health Aide
Enumeration Date2019-09-23
Last Update Date2020-01-15
Business Address
OLUMIDE EBENEZER OLUSANYA
8616 ACCOKEEK ST
LAUREL, MD 20724-1986
Phone number: 443-525-5611
Mailing Address
OLUMIDE EBENEZER OLUSANYA
8616 ACCOKEEK ST
LAUREL, MD 20724-1986
Phone number: 443-525-5611
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