Provider Demographics
NPI:1235585316
Name:ARIYO, BOSEDE ABIGAIL
Entity Type:Individual
Prefix:
First Name:BOSEDE
Middle Name:ABIGAIL
Last Name:ARIYO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11688 S LAUREL DR APT 2D
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20708-3016
Mailing Address - Country:US
Mailing Address - Phone:240-898-6810
Mailing Address - Fax:
Practice Address - Street 1:11688 S LAUREL DR APT 2D
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20708-3016
Practice Address - Country:US
Practice Address - Phone:240-898-6810
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-09
Last Update Date:2021-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide