Individual
ITOHAN U ODIASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3109 MLK JR AVE SE, WASHINGTON, DC 20032-1573
(224) 446-6062
Mailing address
3109 MLK JR AVE SE, WASHINGTON, DC 20032-1573
(240) 230-2731
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
374U00000X
Home Health Aide
Primary
HHA200004661
DC
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
08/05/2024
Last updated
05/05/2025
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