Individual
JIMMY AJIBODE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5032 57TH AVE, APT 304, BLADENSBURG, MD 20710-1626
(240) 640-9559
Mailing address
5032 57TH AVE, APT 304, BLADENSBURG, MD 20710-1626
(240) 640-9559
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
12/10/2013
Last updated
12/10/2013
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