Provider Demographics
NPI:1376320580
Name:OLAWOYIN, OLUWAMAYOWA ADENIKE
Entity Type:Individual
Prefix:
First Name:OLUWAMAYOWA
Middle Name:ADENIKE
Last Name:OLAWOYIN
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 1:6837B RIVERDALE RD APT 201B
Mailing Address - Street 2:
Mailing Address - City:RIVERDALE
Mailing Address - State:MD
Mailing Address - Zip Code:20737-1829
Mailing Address - Country:US
Mailing Address - Phone:240-906-2170
Mailing Address - Fax:
Practice Address - Street 1:6837B RIVERDALE RD APT 201B
Practice Address - Street 2:
Practice Address - City:RIVERDALE
Practice Address - State:MD
Practice Address - Zip Code:20737-1829
Practice Address - Country:US
Practice Address - Phone:240-906-2170
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-11
Last Update Date:2023-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCHHA200003173374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide