Individual
KAYODE IBRAHIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
439 ONEIDA PL NW, WASHINGTON, DC 20011-2150
(202) 291-7922
(202) 291-4009
Mailing address
4110 71ST AVE, HYATTSVILLE, MD 20784-2622
(301) 237-0350
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036061400
—
DC
Enumeration date
04/25/2013
Last updated
04/25/2013
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