MR. Famous Iwinosa Osasuyi
NPI #1902268352 in White Marsh, Maryland
Provider Information
- NPI Number
- 1902268352
- Entity Type
- Individual
- Name
- MR. Famous Iwinosa Osasuyi
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Mar 24, 2016
- Last Updated
- Mar 24, 2016
Practice Location
- Address
- 11555 AUTUMN TERRACE DR
- City
- White Marsh
- State
- Maryland
- ZIP Code
- 21162-1152
- Phone
- (443) 226-6339
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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