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Individual

MR. BANKOLE A FADOJU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1615 KENILWORTH AVE NE, WASHINGTON, DC 20019-2010
(202) 588-8036
Mailing address
5622 WHITFIELD CHAPEL RD APT 103, LANHAM, MD 20706-2549
(301) 675-3440

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA13374
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
F-320-081-078-325
DRIVER'S LICENCE
MD
Enumeration date
01/05/2018
Last updated
01/05/2018
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