Yewande Olasimbo PA-C

NPI 1265771109 - Physician Assistant - 363A00000X

NPI Details
NPI 1265771109
Gender Female
Enumeration Date 02/13/2013
Last Updated 02/13/2013
Entity Type Individual
Active Over 3 years ago
Practice Location
1315 BRETON DR
ELDERSBURG MD, 21784-6137, US
Phone (410) 552-8289
Fax
Business Location
1315 BRETON DR
SYKESVILLE MD, 21784-6137, US
Phone
Fax
Toxanomy
Taxonomy Code 363A00000X
License State Maryland
License Number C0004996
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According to our database, Mrs. Yewande Olasimbo PA-C NPI is 1265771109, taxonomy code is 363A00000X and license number is C0004996, license state is located at Maryland. Yewande Olasimbo PA-C physically located at 1315 Breton Dr, Eldersburg MD, 21784-6137. NPI Number Yewande Olasimbo PA-C has the Individual type.

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1265771109 NPI number is provided on an as is basis without warranty of any kind. 1265771109 is maintained by the National Plan & Provider Enumeration System. The contents of Yewande Olasimbo PA-C are for informational purposes only.