Healthcare Provider Details

I. General information

NPI: 1992185706
Provider Name (Legal Business Name): OLUWATOYIN AKINTOMOWO HHA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/06/2015
Last Update Date: 06/06/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1707 L ST NW
WASHINGTON DC
20036-4201
US

IV. Provider business mailing address

3422 DODGE PARK RD APT 301
LANDOVER MD
20785-2047
US

V. Phone/Fax

Practice location:
  • Phone: 202-829-1111
  • Fax:
Mailing address:
  • Phone: 240-667-6075
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License NumberHHA11305
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: