Individual provider · NPI-1

Adesoji Adenusi

Case Manager/Care Coordinator · Bowie, MD

NPI number1497576458
StatusActive
Last updated in NPPESOct 22, 2024

Details

NPI
1497576458
Entity type
Individual (NPI-1)
Name
Adesoji Adenusi
Sex
Male
Sole proprietor
Yes
Enumeration date
Oct 22, 2024
Certification date
Oct 22, 2024
Last updated
Oct 22, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator––Yes

Practice location

11721 Whittier Rd
Bowie, MD 20721-2114

Phone 240-484-1136

Mailing address

11721 Whittier Rd
Bowie, MD 20721-2114

Phone 240-484-1136

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