Individual
MR. ISAAC O ODIVBRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1615 KENILWORTH AVE NE, WASHINGTON, DC 20019-2010
(202) 588-8036
Mailing address
2415 HILLSDALE PL SE, WASHINGTON, DC 20020-4450
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA13312
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4132058
DRIVER'S LICENCE
DC
Enumeration date
01/11/2018
Last updated
01/11/2018
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