Provider Demographics
NPI:1801433909
Name:AYANGOKE, RUKAYAT A
Entity type:Individual
Prefix:
First Name:RUKAYAT
Middle Name:A
Last Name:AYANGOKE
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 1:4311 57TH AVE APT 12
Mailing Address - Street 2:
Mailing Address - City:BLADENSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20710-1717
Mailing Address - Country:US
Mailing Address - Phone:301-549-4869
Mailing Address - Fax:
Practice Address - Street 1:4311 57TH AVE APT 12
Practice Address - Street 2:
Practice Address - City:BLADENSBURG
Practice Address - State:MD
Practice Address - Zip Code:20710-1717
Practice Address - Country:US
Practice Address - Phone:301-549-4869
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-12-08
Last Update Date:2024-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide