Doctor Name: | MRS. MONISOLA A ADEYEMO |
NPI Number: | 1881754349 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | N.P. |
License Number: | R105387 |
Business Practice Address: | 1400 Mercantile Ln Suite 180 Largo, MD - 207745341 |
Business Phone Number: | 3019257022 |
Business Fax Number: | 3019254463 |
Mailing Address: | 6107 Box Oak Ct, LANHAM |
State: | MD |
Postal Code: | 207062386 |
Phone Number: | 3019257022 |
Fax Number: | 3019254463 |
NPI Enumeration Date: | 12/12/2006 |
NPI Last Update Date: | 11/16/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261Q00000X |
License Number: | R105387 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | |
Taxonomy Definition: | A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |