Provider Demographics
NPI:1184755886
Name:OYEWO, BETTY FOLAKE
Entity type:Individual
Prefix:MS
First Name:BETTY
Middle Name:FOLAKE
Last Name:OYEWO
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 1:41872 MONTALLEGRO ST
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:CA
Mailing Address - Zip Code:93536-2986
Mailing Address - Country:US
Mailing Address - Phone:661-272-4883
Mailing Address - Fax:661-272-1005
Practice Address - Street 1:190 SIERRA CT STE B2
Practice Address - Street 2:
Practice Address - City:PALMDALE
Practice Address - State:CA
Practice Address - Zip Code:93550-7608
Practice Address - Country:US
Practice Address - Phone:661-272-4883
Practice Address - Fax:661-272-1005
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator