Damilola Adebanjo I
Home Health Aide in Laurel, MD. Individual provider (NPI-1).
NPI number1417349283
StatusActive
Last updated in NPPESMar 7, 2018
Details
- NPI
- 1417349283
- Entity type
- Individual (NPI-1)
- Name
- Damilola Adebanjo I
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 3, 2015
- Last updated
- Mar 7, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 374U00000X | Home Health Aide | – | – | Yes |
| 251E00000X | Home Health | HHA1 | DC |
Practice location
8976 Cherry LnLaurel, MD 20708-1119
Phone 773-717-4213
Mailing address
8976 Cherry LnLaurel, MD 20708-1119
Phone 773-717-4213
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