Individual
IFEJUOLALO ANIFOWOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1416 9TH ST NW, WASHINGTON, DC 20001-3344
(240) 565-8740
Mailing address
1416 9TH ST NW, WASHINGTON, DC 20001-3344
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
02/05/2016
Last updated
02/05/2016
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