Individual
KHALIFATU O FAWEHINMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3298 FORT LINCOLN DR NE APT 1010, WASHINGTON, DC 20018-4342
(240) 475-5096
Mailing address
656 CHARANTE CT APT 104, GLEN BURNIE, MD 21061-5198
(240) 475-5096
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN46835
MD
Other
Enumeration date
06/20/2019
Last updated
06/20/2019
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