OLUWAFEMI IKUSIKA

PERRY HALL, MD
NPI1902226160
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy314000000X Skilled Nursing Facility
(Licence: MD  A02081)
Additional Taxonomies282E00000X Long Term Care Hospital
(Licence: MD  A02081)
282N00000X General Acute Care Hospital
(Licence: MD  A02081)
Enumeration Date2014-04-25
Last Update Date2014-04-25
Business Address
Mr. OLUWAFEMI IKUSIKA C.O.T.A
8803 BAILEYS CT
PERRY HALL, MD 21128-8815
Phone number: 443-621-1931
Mailing Address
Mr. OLUWAFEMI IKUSIKA C.O.T.A
8803 BAILEYS CT
PERRY HALL, MD 21128-8815
Phone number: