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Individual

AKINTUNDE GANIYU OMISANMI SR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
915 RHODE ISLAND AVENUE, SE, WASHINGTON, DC 20001
(301) 232-6100
(202) 750-7383
Mailing address
807 ALABASTER CT, CAPITOL HEIGHTS, MD 20743-1872
(240) 353-2171
(202) 750-7383

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
04/11/2023
Last updated
10/24/2023
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