Individual
IDIAT LAWAL I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1416 9TH ST NW, WASHINGTON, DC 20001-3344
(202) 483-9111
Mailing address
4219 58TH AVE, #2, BLADENSBURG, MD 20710-1942
(301) 949-0466
(301) 933-2007
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
01/09/2015
Last updated
05/11/2017
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