Provider Demographics
NPI:1407725195
Name:AKINBOBOLA, RONKE RACHEL
Entity type:Individual
Prefix:
First Name:RONKE
Middle Name:RACHEL
Last Name:AKINBOBOLA
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 1:606 64TH PL
Mailing Address - Street 2:
Mailing Address - City:CAPITOL HEIGHTS
Mailing Address - State:MD
Mailing Address - Zip Code:20743-1705
Mailing Address - Country:US
Mailing Address - Phone:240-425-7770
Mailing Address - Fax:
Practice Address - Street 1:606 64TH PL
Practice Address - Street 2:
Practice Address - City:CAPITOL HEIGHTS
Practice Address - State:MD
Practice Address - Zip Code:20743-1705
Practice Address - Country:US
Practice Address - Phone:240-425-7770
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-11-01
Last Update Date:2025-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide