Individual
OMOTUNDE O AJIBOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2512 24TH ST NE, WASHINGTON, DC 20018-2126
(202) 832-8340
Mailing address
9913 GREENBELT RD APT 202, LANHAM, MD 20706-2244
(240) 838-0599
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
DC
374U00000X
Home Health Aide
—
—
Other
Enumeration date
05/16/2007
Last updated
07/25/2023
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