Provider Demographics
NPI:1417641523
Name:SOLOMON, OLAMITOLA O
Entity Type:Individual
Prefix:
First Name:OLAMITOLA
Middle Name:O
Last Name:SOLOMON
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 1:7115 S MASON RD APT 2112
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-4483
Mailing Address - Country:US
Mailing Address - Phone:475-439-5507
Mailing Address - Fax:
Practice Address - Street 1:7115 S MASON RD APT 2112
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77407-4483
Practice Address - Country:US
Practice Address - Phone:475-439-5507
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-05
Last Update Date:2023-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health