Provider Demographics
NPI:1407614373
Name:DANIJU, SARIAT OLASUPO
Entity Type:Individual
Prefix:
First Name:SARIAT
Middle Name:OLASUPO
Last Name:DANIJU
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 1:23582 W WIER AVE
Mailing Address - Street 2:
Mailing Address - City:BUCKEYE
Mailing Address - State:AZ
Mailing Address - Zip Code:85326-7327
Mailing Address - Country:US
Mailing Address - Phone:602-750-1788
Mailing Address - Fax:
Practice Address - Street 1:23582 W WIER AVE
Practice Address - Street 2:
Practice Address - City:BUCKEYE
Practice Address - State:AZ
Practice Address - Zip Code:85326-7327
Practice Address - Country:US
Practice Address - Phone:602-750-1788
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-06
Last Update Date:2024-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes373H00000XNursing Service Related ProvidersDay Training/Habilitation SpecialistGroup - Single Specialty