Individual
OLUFELA OSIFADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5609 HAMPTON FOREST WAY, FAIRFAX, VA 22030-7223
(240) 593-6426
Mailing address
5609 HAMPTON FOREST WAY, FAIRFAX, VA 22030-7223
(240) 593-6426
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/19/2024
Last updated
08/19/2024
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