Individual
ABABO AYANSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1355 PEABODY ST NW APT 311, WASHINGTON, DC 20011-1869
(202) 288-1584
Mailing address
1355 PEABODY ST NW APT 311, WASHINGTON, DC 20011-1869
(202) 288-1584
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A00159772
—
MD
Enumeration date
09/21/2021
Last updated
09/21/2021
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