Individual
MR. OLUWASEYI BANJO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1636 BELLE VIEW BLVD, ALEXANDRIA, VA 22307-6531
(703) 768-7044
Mailing address
1636 BELLE VIEW BLVD, ALEXANDRIA, VA 22307-6531
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024175370
VA
Other
Enumeration date
04/13/2018
Last updated
04/13/2018
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