Provider Demographics
NPI:1942893060
Name:ELOLAIMI, SARAH-DENISE KHALID
Entity Type:Individual
Prefix:
First Name:SARAH-DENISE
Middle Name:KHALID
Last Name:ELOLAIMI
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 1:3811 SE SUNRISE DR
Mailing Address - Street 2:
Mailing Address - City:CAMAS
Mailing Address - State:WA
Mailing Address - Zip Code:98607-9495
Mailing Address - Country:US
Mailing Address - Phone:541-400-1755
Mailing Address - Fax:
Practice Address - Street 1:3811 SE SUNRISE DR
Practice Address - Street 2:
Practice Address - City:CAMAS
Practice Address - State:WA
Practice Address - Zip Code:98607-9495
Practice Address - Country:US
Practice Address - Phone:541-400-1755
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-19
Last Update Date:2021-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula