Individual
MRS. MOJIBADE ADEPEGBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6856 EASTERN AVE NW, WASHINGTON, DC 20012-2165
(202) 545-6980
Mailing address
7913 GRANT DR, GLENARDEN, MD 20706-1727
(202) 702-3194
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN1002542
DC
Other
Enumeration date
09/23/2014
Last updated
09/23/2014
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