Individual
MRS. MODUPE ROMOKE IBIKUNLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6475 NEW HAMPSHIRE AVE STE 500A, HYATTSVILLE, MD 20783-3295
(301) 560-1352
Mailing address
6475 NEW HAMPSHIRE AVE STE 500A, HYATTSVILLE, MD 20783-3295
(301) 560-1352
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
09/18/2012
Last updated
03/27/2018
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