Provider Demographics
NPI:1710589098
Name:ADELEKE, VICTORIA OLAJUMOKE
Entity Type:Individual
Prefix:
First Name:VICTORIA
Middle Name:OLAJUMOKE
Last Name:ADELEKE
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 1:2220 BRIGHTSEAT RD APT 302
Mailing Address - Street 2:
Mailing Address - City:LANDOVER
Mailing Address - State:MD
Mailing Address - Zip Code:20785-3515
Mailing Address - Country:US
Mailing Address - Phone:240-486-7418
Mailing Address - Fax:
Practice Address - Street 1:2220 BRIGHTSEAT RD APT 302
Practice Address - Street 2:
Practice Address - City:LANDOVER
Practice Address - State:MD
Practice Address - Zip Code:20785-3515
Practice Address - Country:US
Practice Address - Phone:240-486-7418
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-12
Last Update Date:2020-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide