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Individual

BOSE AJAYI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
800 MAINE AVE SW, WASHINGTON, DC 20024-2805
(202) 730-5436
Mailing address
8280 WILLOW OAKS CORPORATE DR STE 600, FAIRFAX, VA 22031-4516
(202) 730-5436

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
NONE
DC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
NP1024705
DC

Other

Enumeration date
07/14/2021
Last updated
08/01/2025
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