Provider Demographics
NPI:1942552633
Name:MCDONALD, TEMITOPE AFOLAYAN
Entity Type:Individual
Prefix:
First Name:TEMITOPE
Middle Name:AFOLAYAN
Last Name:MCDONALD
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 1:6747 RIVERDALE RD
Mailing Address - Street 2:
Mailing Address - City:RIVERDALE
Mailing Address - State:MD
Mailing Address - Zip Code:20737-1768
Mailing Address - Country:US
Mailing Address - Phone:240-421-0231
Mailing Address - Fax:
Practice Address - Street 1:7600 GEOGIA AVE
Practice Address - Street 2:
Practice Address - City:GEOGIA
Practice Address - State:DC
Practice Address - Zip Code:20012
Practice Address - Country:US
Practice Address - Phone:202-723-3060
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-05
Last Update Date:2012-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide