Provider Demographics
NPI:1669919502
Name:AKINFOLARIN, ADETAYO
Entity type:Individual
Prefix:
First Name:ADETAYO
Middle Name:
Last Name:AKINFOLARIN
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 1:6219 SPRINGHILL CT
Mailing Address - Street 2:APT 103
Mailing Address - City:GREENBELT
Mailing Address - State:MD
Mailing Address - Zip Code:20770-1335
Mailing Address - Country:US
Mailing Address - Phone:240-883-2265
Mailing Address - Fax:
Practice Address - Street 1:6219 SPRINGHILL CT
Practice Address - Street 2:APT 103
Practice Address - City:GREENBELT
Practice Address - State:MD
Practice Address - Zip Code:20770-1335
Practice Address - Country:US
Practice Address - Phone:240-883-2265
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-01-31
Last Update Date:2017-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide