Organization
MAGNIFICUS CORPORATION GOVERNMENT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AKINTOYE O SHOETAN PA-C (PRESIDENT)
(202) 838-8086
Entity
Organization
Contact information
Practice address
125A L STREET, SE, WASHINGTON, DC 20003
(202) 838-8086
Mailing address
125A L STREET, SE, WASHINGTON, DC 20003
(202) 838-8086
(888) 829-2131
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
363A00000X
Physician Assistant
—
—
Other
Enumeration date
03/08/2024
Last updated
06/28/2024
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