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Individual

OLUSOLA OLUFUNMILOLA MALOMO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
920 VARNUM ST NE, WASHINGTON, DC 20017-2145
(202) 854-7419
Mailing address
920 VARNUM ST NE, WASHINGTON, DC 20017-2145
(202) 854-7419

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
D0063890
MD
2083X0100X
Occupational Medicine Physician
Primary
MD036893
DC

Other

Enumeration date
02/01/2007
Last updated
10/24/2022
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