Individual
COSIBA SHOGBOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1825 JEFFERSON PL NW, WASHINGTON, DC 20036-2504
(202) 299-1109
Mailing address
1825 JEFFERSON PL NW, WASHINGTON, DC 20036-2504
(202) 299-1109
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
04/15/2014
Last updated
04/15/2014
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