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NPI Code Detail

MEDICARE: TAIWO AFOLABI LPN

MEDICARE:   TAIWO  AFOLABI  LPN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1164W00000XLicensed Practical NurseLP41126MD
2374U00000XHome Health AideHHA8909DC
3163W00000XRegistered NurseRN1050317DC

General Provider Information

NPI Number : 1235335217
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAIWO AFOLABI LPN
Provider Business Mailing Address
First Line : 7726 WILLOW HILL DR
Second Line :
City : LANDOVER
State : MD
Zip : 20785-4686
Country : US
Telephone Number : 240-643-3822
Fax Number :
Provider Business Practice Location Address
First Line : 2512 24TH ST NE
Second Line :
City : WASHINGTON
State : DC
Zip : 20018-2126
Country : US
Telephone Number : 202-560-1396
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/26/2007
Last Update Date : 05/09/2019

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Directions to “ TAIWO AFOLABI LPN” Practice Location

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