Provider Demographics
NPI:1134467285
Name:OGUNSANYA, FOLASADE CLARA
Entity Type:Individual
Prefix:
First Name:FOLASADE
Middle Name:CLARA
Last Name:OGUNSANYA
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 1:5602 WHITFIELD CHAPEL RD APT 301
Mailing Address - Street 2:
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-2542
Mailing Address - Country:US
Mailing Address - Phone:240-491-2772
Mailing Address - Fax:
Practice Address - Street 1:5602 WHITFIELD CHAPEL RD APT 301
Practice Address - Street 2:
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706-2542
Practice Address - Country:US
Practice Address - Phone:240-491-2772
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-24
Last Update Date:2013-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide