MEDICARE: YETUNDE OMOLADE ADARAMOLA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1588933295
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YETUNDE OMOLADE ADARAMOLA

Provider Business Mailing Address
First Line	:	2512 24TH ST NE
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20018-2126
Country	:	US
Telephone Number	:	202-723-3060
Fax Number	:	202-723-3065

Provider Business Practice Location Address
First Line	:	2512 24TH ST NE
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20018-2126
Country	:	US
Telephone Number	:	202-832-8340
Fax Number	:	202-832-8341

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/26/2011
Last Update Date	:	02/17/2016

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Directions to “ YETUNDE OMOLADE ADARAMOLA ” Practice Location

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