Provider Demographics
NPI:1043704869
Name:AKINYOSOYE, FUNMILAYO FESTUS
Entity Type:Individual
Prefix:
First Name:FUNMILAYO
Middle Name:FESTUS
Last Name:AKINYOSOYE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7924 GLENARDEN PKWY APT 113
Mailing Address - Street 2:
Mailing Address - City:GLENARDEN
Mailing Address - State:MD
Mailing Address - Zip Code:20706-1759
Mailing Address - Country:US
Mailing Address - Phone:240-615-6774
Mailing Address - Fax:
Practice Address - Street 1:7924 GLENARDEN PKWY APT 113
Practice Address - Street 2:
Practice Address - City:GLENARDEN
Practice Address - State:MD
Practice Address - Zip Code:20706
Practice Address - Country:US
Practice Address - Phone:240-615-6774
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-15
Last Update Date:2018-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide