Provider Demographics
NPI:1477844850
Name:OJO, DORCAS FOLASADE (LPN)
Entity Type:Individual
Prefix:
First Name:DORCAS
Middle Name:FOLASADE
Last Name:OJO
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:503 BRICK BLVD STE 101
Mailing Address - Street 2:
Mailing Address - City:BRICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08723-6097
Mailing Address - Country:US
Mailing Address - Phone:848-333-3853
Mailing Address - Fax:
Practice Address - Street 1:503 BRICK BLVD STE 101
Practice Address - Street 2:
Practice Address - City:BRICK
Practice Address - State:NJ
Practice Address - Zip Code:08723-6097
Practice Address - Country:US
Practice Address - Phone:848-333-3853
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-20
Last Update Date:2020-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY305409164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse