Individual
PAULINE FAGBUYI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2600 BRYAN PL SE, WASHINGTON, DC 20020-4417
(202) 423-7604
Mailing address
2600 BRYAN PL SE, WASHINGTON, DC 20020-4417
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R127660
MD
Other
Enumeration date
04/01/2024
Last updated
04/01/2024
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