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Individual

MR. MOBARAK DJIBRIL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2501 GOOD HOPE RD SE, WASHINGTON, DC 20020-3011
(402) 650-5995
Mailing address
7604 HUBBLE DR, LANHAM, MD 20706-2521
(402) 650-5995

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
251E00000X
Home Health Agency

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036061400
DC
Enumeration date
03/28/2013
Last updated
07/16/2023
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