Individual
ADEYINKA A BALOGUN-AGESIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3109 MARTIN LUTHER KING JR AVE SE, WASHINGTON, DC 20032-1573
(202) 800-4433
(202) 722-4903
Mailing address
3109 MARTIN LUTHER KING JR AVE SE, WASHINGTON, DC 20032-1573
(202) 800-4433
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/21/2024
Last updated
06/21/2024
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