Individual
BOLANLE CHRISTIE KOYEJO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1820 JEFFERSON PLACE NW, WASHINGTON, DC 20036
(202) 299-1109
Mailing address
4829 NORTH CAPITOL STREET NE, WASHINGTON, DC 20011
(202) 779-6163
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP20001390
DC
374U00000X
Home Health Aide
HHA13065
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
70904463
AMERIHEALTH CARITAS
DC
Enumeration date
10/05/2017
Last updated
02/13/2023
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