Individual
MR. GABRIEL ADEREMI FAYOMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
920 VARNUM ST NE, WASHINGTON, DC 20017-2145
(202) 269-7400
(202) 269-7823
Mailing address
11000 ELON DR, BOWIE, MD 20720-3507
(301) 352-0308
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA267
DC
Other
Enumeration date
05/17/2007
Last updated
07/08/2007
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