NPI 1568931905

Adedeji Charles Olagunju

Practitioner Driver Capitol Heights, MD

Practice location

Address: 415 70th Street, Capitol Heights, MD 20743
Phone: (240) 505-5158

Registered specialties (2)

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence 343900000X (MD)

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Adult Companion

Nursing Service Related Providers Taxonomy 372600000X Licence 343900000X

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Registry record

NPI: 1568931905
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Nov 2018
Record last updated: 15 Nov 2018

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.