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Tobi Olanipekun Agbanigo

Home Health Aide in Landover, MD. Individual provider (NPI-1).

NPI number1730438763
StatusActive
Last updated in NPPESSep 6, 2012

Details

NPI
1730438763
Entity type
Individual (NPI-1)
Name
Tobi Olanipekun Agbanigo
Sex
Male
Sole proprietor
No
Enumeration date
Sep 6, 2012
Last updated
Sep 6, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
374U00000X Home Health Aide––Yes

Practice location

3407 Dodge Park Rd
Landover, MD 20785-2017

Phone 240-764-7187

Mailing address

3407 Dodge Park Rd
Landover, MD 20785-2017

Phone 240-764-7187

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