Provider Demographics
NPI:1821503822
Name:OJOMO, TEMILADE
Entity Type:Individual
Prefix:
First Name:TEMILADE
Middle Name:
Last Name:OJOMO
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 1:12035 HUFFMEISTER RD APT 335
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-4166
Mailing Address - Country:US
Mailing Address - Phone:317-289-8938
Mailing Address - Fax:
Practice Address - Street 1:12035 HUFFMEISTER RD APT 335
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429-4166
Practice Address - Country:US
Practice Address - Phone:317-289-8938
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-12-12
Last Update Date:2017-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician