Individual
MS. FUNMILOLA OLAMIDE OMILANA I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HHA
Contact information
Practice address
865 21ST ST NE, WASHINGTON, DC 20002-4134
(202) 386-0861
Mailing address
865 21ST ST NE, WASHINGTON, DC 20002-4134
(202) 386-0861
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
374U00000X
Home Health Aide
HHA12831
DC
Other
Enumeration date
07/27/2017
Last updated
07/20/2023
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