Provider Demographics
NPI:1568214195
Name:ADENIJI, MONIQUE P
Entity Type:Individual
Prefix:
First Name:MONIQUE
Middle Name:P
Last Name:ADENIJI
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 1:17752 BLAZING STAR DR
Mailing Address - Street 2:
Mailing Address - City:STRONGSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44136-7631
Mailing Address - Country:US
Mailing Address - Phone:216-326-8138
Mailing Address - Fax:
Practice Address - Street 1:17752 BLAZING STAR DR
Practice Address - Street 2:
Practice Address - City:STRONGSVILLE
Practice Address - State:OH
Practice Address - Zip Code:44136-7631
Practice Address - Country:US
Practice Address - Phone:216-326-8138
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-05
Last Update Date:2024-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)