Individual
MR. DAVID BABALOLA AJAGBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
2425 EYRIE DR, WOODBURY, MN 55129-4303
(651) 428-5704
Mailing address
2425 EYRIE DR, WOODBURY, MN 55129-4303
(651) 428-5704
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
R167930-4
MN
Other
Enumeration date
05/29/2023
Last updated
05/29/2023
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