Provider Demographics
NPI:1376232926
Name:OGUNRANTI, FOLASHADE JOYCE
Entity Type:Individual
Prefix:
First Name:FOLASHADE JOYCE
Middle Name:
Last Name:OGUNRANTI
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 1:201 ROYAL OAK CT
Mailing Address - Street 2:
Mailing Address - City:ODENTON
Mailing Address - State:MD
Mailing Address - Zip Code:21113-2649
Mailing Address - Country:US
Mailing Address - Phone:240-423-1045
Mailing Address - Fax:
Practice Address - Street 1:201 ROYAL OAK CT
Practice Address - Street 2:
Practice Address - City:ODENTON
Practice Address - State:MD
Practice Address - Zip Code:21113-2649
Practice Address - Country:US
Practice Address - Phone:240-423-1045
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-01
Last Update Date:2023-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide