Provider Demographics
NPI:1184982456
Name:DARAMAJA, OLUBUNMI
Entity type:Individual
Prefix:
First Name:OLUBUNMI
Middle Name:
Last Name:DARAMAJA
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5800 CLIPPER LN UNIT 305
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21029-1390
Mailing Address - Country:US
Mailing Address - Phone:240-304-6476
Mailing Address - Fax:
Practice Address - Street 1:5800 CLIPPER LN UNIT 305
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21029-1390
Practice Address - Country:US
Practice Address - Phone:240-304-6476
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-24
Last Update Date:2025-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171400000X
MD12266183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No171400000XOther Service ProvidersHealth & Wellness Coach