NPI 1063067528
Modebola Sanni
Practice location
- Address
- 7609 Fontainebleau Dr APT 2213, New Carrollton, MD 20784-3822
- Phone
- (240) 491-2741
Registered specialties
Personal Emergency Response Attendant
Primary
Registry record
- NPI
- 1063067528
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 1 Aug 2019
- Record last updated
- 1 Aug 2019
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.