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Individual

SURATU AJOKE AFOLABI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
6731 NEW HAMPSHIRE AVE, TAKOMA PARK, MD 20912-4863
(301) 712-4967
Mailing address
6731 NEW HAMPSHIRE AVE APT 906, TAKOMA PARK, MD 20912-2810
(301) 712-4967

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
62407
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
62407
HOME HEALTH AIDE
DC
Enumeration date
03/07/2013
Last updated
03/07/2013
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