Individual
KHADIJAT KEJI FASOLA I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5120 SARGENT RD NE APT 304, WASHINGTON, DC 20017-2832
(202) 696-0940
Mailing address
5120 SARGENT RD NE APT 304, WASHINGTON, DC 20017-2832
(202) 696-0940
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA11322
DC
Other
Enumeration date
07/22/2015
Last updated
09/11/2023
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