Individual
ABIOLA BASHORUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1702 TODDS LN STE 327, HAMPTON, VA 23666-3209
(757) 637-8896
Mailing address
1702 TODDS LN STE 327, HAMPTON, VA 23666-3209
(757) 637-8896
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
332BD1200X
Dialysis Equipment & Supplies (DME)
—
—
332BN1400X
Nursing Facility Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Enumeration date
03/30/2023
Last updated
03/30/2023
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