Bankole 0 Viatonu
Community/Behavioral Health in Hyattsville, MD. Individual provider (NPI-1).
NPI number1316631070
StatusActive
Last updated in NPPESJun 6, 2023
Details
- NPI
- 1316631070
- Entity type
- Individual (NPI-1)
- Name
- Bankole 0 Viatonu
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 6, 2023
- Certification date
- Jun 6, 2023
- Last updated
- Jun 6, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
Practice location
6495 New Hampshire Ave Ste A303Hyattsville, MD 20783-3245
Phone 240-667-2357 · Fax 240-667-2743
Mailing address
6495 New Hampshire Ave Ste A303Hyattsville, MD 20783-3245
Phone 240-667-2357
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All 33 Community/Behavioral Health Agency providers in Hyattsville · All 2,789 providers in Hyattsville
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