Individual
OLUSHOLA S BALOGUN-SHAGARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7506 GEORGIA AVE NW, WASHINGTON, DC 20012-1608
(202) 291-6973
(202) 291-0037
Mailing address
5802 ANNAPOLIS RD, APT #606, BLADENSBURG, MD 20710-2075
(202) 280-3363
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN7874
DC
Other
Enumeration date
07/22/2013
Last updated
07/22/2013
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