Individual
IYABODE ONAMUTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9116 CENTER ST STE 207, MANASSAS, VA 20110-5460
(571) 292-1461
(571) 292-2196
Mailing address
9116 CENTER ST STE 207, MANASSAS, VA 20110-5460
(571) 292-1461
(571) 292-2196
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
HCO-14918
VA
Other
Enumeration date
10/17/2014
Last updated
10/17/2014
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