Individual
ABIMBOLA OLUSEGUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7600 GEORGIA AVE NW, WASHINGTON, DC 20012-1616
(202) 723-3060
Mailing address
3009 LADOVA WAY, UPPER MARLBORO, MD 20774-2594
(240) 645-5710
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN500020492
DC
374U00000X
Home Health Aide
HHA14016
DC
Other
Enumeration date
09/28/2018
Last updated
03/11/2025
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