Individual
IYABO AINA FAYOMBO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1429 COLUMBIA RD NW APT 1, WASHINGTON, DC 20009-4717
(202) 986-3050
Mailing address
1429 COLUMBIA RD NW APT 1, WASHINGTON, DC 20009-4717
(202) 986-3050
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
07/27/2012
Last updated
07/27/2012
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