Tajudeen Adefenwa
Home Health Aide in Washington, DC. Individual provider (NPI-1).
NPI number1114284841
StatusActive
Last updated in NPPESApr 19, 2012
Details
- NPI
- 1114284841
- Entity type
- Individual (NPI-1)
- Name
- Tajudeen Adefenwa
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 19, 2012
- Last updated
- Apr 19, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 374U00000X | Home Health Aide | – | – | Yes |
Practice location
2642 12th St. NeWashington, DC 20018
Phone 202-269-1619 · Fax 202-683-6739
Mailing address
2642 12th St. NeWashington, DC 20018
Phone 202-269-1619 · Fax 202-683-6739
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