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Individual

TIMOTHY OLUKANNI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
900 23RD ST NW, WASHINGTON, DC 20037-2342
(202) 715-4000
Mailing address
1600 S JOYCE ST APT 1731, ARLINGTON, VA 22202-5135
(757) 701-9850

Taxonomy

Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
789789819
VA
367H00000X
Anesthesiologist Assistant
Primary
AA2000047
DC

Other

Enumeration date
05/22/2023
Last updated
07/28/2023
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