Individual
IFETAYO AL-DIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3814 12TH ST NE, WASHINGTON, DC 20017-2630
(202) 377-9501
Mailing address
4410 OGLETHORPE ST APT 703, HYATTSVILLE, MD 20781-1559
(202) 377-9501
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
DC
Other
Enumeration date
08/02/2021
Last updated
08/02/2021
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