Individual
BASHIR AYODEJI IDRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4130 HUNT PL NE, WASHINGTON, DC 20019-3565
(202) 388-4300
Mailing address
2315 BROOKS DR APT 301, SUITLAND, MD 20746-1017
(240) 733-6008
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/02/2023
Last updated
06/02/2023
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