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Individual

IBRAHIM OLASUNKANMI SHOBALOJU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
3100 BRUCE PL SE APT 401, WASHINGTON, DC 20020-2950
(202) 704-1628
Mailing address
3100 BRUCE PL SE APT 401, WASHINGTON, DC 20020-2950
(202) 704-1628

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
374U00000X
Home Health Aide
Primary
HHA9601
DC

Other

Enumeration date
11/20/2013
Last updated
11/20/2013
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