MEDICARE: FEMI ADEWALE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3747P1801X	Personal Care Attendant

General Provider Information

NPI Number	:	1336612282
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FEMI ADEWALE

Provider Business Mailing Address
First Line	:	6828 SAND CHERRY WAY
Second Line	:
City	:	CLINTON
State	:	MD
Zip	:	20735-4247
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1369 IRVING ST NW APT 306
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20010-7236
Country	:	US
Telephone Number	:	202-262-4981
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/03/2019
Last Update Date	:	01/03/2019

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Directions to “ FEMI ADEWALE ” Practice Location

Language	Start Address	Practice Location

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