Provider Demographics
NPI:1255015483
Name:ALLEN-BAKARE, OLAJUMOKE MARY
Entity type:Individual
Prefix:
First Name:OLAJUMOKE
Middle Name:MARY
Last Name:ALLEN-BAKARE
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 1:135 CHESTNUT LN APT 401
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44143-1031
Mailing Address - Country:US
Mailing Address - Phone:347-295-8781
Mailing Address - Fax:
Practice Address - Street 1:135 CHESTNUT LN APT 401
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44143-1031
Practice Address - Country:US
Practice Address - Phone:347-295-8781
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-08
Last Update Date:2023-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide