Provider Demographics
NPI:1689939019
Name:OYINLEYE, VICTORIA NGOZI
Entity Type:Individual
Prefix:
First Name:VICTORIA
Middle Name:NGOZI
Last Name:OYINLEYE
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 1:6321 LANDOVER RD
Mailing Address - Street 2:103
Mailing Address - City:CHEVERLY
Mailing Address - State:MD
Mailing Address - Zip Code:20785
Mailing Address - Country:US
Mailing Address - Phone:240-706-5745
Mailing Address - Fax:
Practice Address - Street 1:3917 ETTRICK CT
Practice Address - Street 2:
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20716-3253
Practice Address - Country:US
Practice Address - Phone:667-289-3156
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-11
Last Update Date:2021-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide