Provider Demographics
NPI:1467145524
Name:ABIOLA, MUSILIMOT
Entity Type:Individual
Prefix:
First Name:MUSILIMOT
Middle Name:
Last Name:ABIOLA
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 1:6505 OAK ST
Mailing Address - Street 2:
Mailing Address - City:CHEVERLY
Mailing Address - State:MD
Mailing Address - Zip Code:20785-1439
Mailing Address - Country:US
Mailing Address - Phone:240-815-3579
Mailing Address - Fax:
Practice Address - Street 1:6505 OAK ST
Practice Address - Street 2:
Practice Address - City:CHEVERLY
Practice Address - State:MD
Practice Address - Zip Code:20785-1439
Practice Address - Country:US
Practice Address - Phone:240-815-3579
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-02
Last Update Date:2023-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDA00179809376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide