Provider Demographics
NPI:1790555886
Name:ORIOYE, MOSUNMOLA
Entity Type:Individual
Prefix:
First Name:MOSUNMOLA
Middle Name:
Last Name:ORIOYE
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 1:15621 QUINCE ORCHARD RD
Mailing Address - Street 2:
Mailing Address - City:NORTH POTOMAC
Mailing Address - State:MD
Mailing Address - Zip Code:20878-4740
Mailing Address - Country:US
Mailing Address - Phone:240-756-5240
Mailing Address - Fax:
Practice Address - Street 1:15621 QUINCE ORCHARD RD
Practice Address - Street 2:
Practice Address - City:NORTH POTOMAC
Practice Address - State:MD
Practice Address - Zip Code:20878-4740
Practice Address - Country:US
Practice Address - Phone:240-756-5240
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-08
Last Update Date:2024-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator