Provider Demographics
NPI:1053661884
Name:BAKARE, OLUWATOYIN A
Entity Type:Individual
Prefix:
First Name:OLUWATOYIN
Middle Name:A
Last Name:BAKARE
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 1:9104 HUNTINGTON CT # CT1
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20708-1022
Mailing Address - Country:US
Mailing Address - Phone:202-604-4988
Mailing Address - Fax:
Practice Address - Street 1:9104 HUNTINGTON CT # CT1
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20708-1022
Practice Address - Country:US
Practice Address - Phone:202-604-4988
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-19
Last Update Date:2012-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide