Provider Demographics
NPI:1295099588
Name:OLATOYE, OLUWAKEMI
Entity type:Individual
Prefix:
First Name:OLUWAKEMI
Middle Name:
Last Name:OLATOYE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9109 CONTEE RD
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20708-2111
Mailing Address - Country:US
Mailing Address - Phone:240-486-4515
Mailing Address - Fax:
Practice Address - Street 1:9109 CONTEE RD
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20708-2111
Practice Address - Country:US
Practice Address - Phone:240-486-4515
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-02
Last Update Date:2012-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide