Individual
EBUNOLUWA ANIFOWOSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4623 JAY ST NE, WASHINGTON, DC 20019-3732
(202) 779-8419
Mailing address
4623 JAY ST NE, WASHINGTON, DC 20019-3732
(202) 779-8419
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA10365
DC
Other
Enumeration date
02/11/2014
Last updated
02/11/2014
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