Individual
MR. AUGUSTINE AGBOOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6856 EASTERN AVE NW, SUITE 350, WASHINGTON, DC 20012-2165
(202) 545-0211
Mailing address
13243 STRAVINSKY TER, SILVER SPRING, MD 20904-6840
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
03/05/2013
Last updated
03/05/2013
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