Provider Demographics
NPI:1235921966
Name:ONAFEKO-JAJI, TAWAKALITU A
Entity type:Individual
Prefix:
First Name:TAWAKALITU
Middle Name:A
Last Name:ONAFEKO-JAJI
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 1:6602 BULLRUSH CT
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:MD
Mailing Address - Zip Code:20735-9674
Mailing Address - Country:US
Mailing Address - Phone:240-554-7941
Mailing Address - Fax:
Practice Address - Street 1:6602 BULLRUSH CT
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:MD
Practice Address - Zip Code:20735-9674
Practice Address - Country:US
Practice Address - Phone:240-554-7941
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-19
Last Update Date:2025-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCHHA200001994374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide