Provider Demographics
NPI:1336710508
Name:AWOYEMI, JANET BOLANLE
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:BOLANLE
Last Name:AWOYEMI
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 1:3408 DODGE PARK RD APT 104
Mailing Address - Street 2:
Mailing Address - City:LANDOVER
Mailing Address - State:MD
Mailing Address - Zip Code:20785-2019
Mailing Address - Country:US
Mailing Address - Phone:240-487-8775
Mailing Address - Fax:
Practice Address - Street 1:3408 DODGE PARK RD APT 104
Practice Address - Street 2:
Practice Address - City:LANDOVER
Practice Address - State:MD
Practice Address - Zip Code:20785-2019
Practice Address - Country:US
Practice Address - Phone:240-487-8775
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-08
Last Update Date:2021-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide