Individual
ABIMBOLA A AGBOOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2007 MARYLAND AVE NE, WASHINGTON, DC 20002-3121
(240) 581-0359
Mailing address
2007 MARYLAND AVE NE, WASHINGTON, DC 20002-3121
(240) 581-0359
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A00195459
—
MD
Enumeration date
07/26/2021
Last updated
07/26/2021
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