Healthcare Provider Details

I. General information

NPI: 1699691758
Provider Name (Legal Business Name): TRACY OYINKANSOLA BELLO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/24/2026
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6605 SEWARD RD
BOWIE MD
20720-3364
US

IV. Provider business mailing address

6605 SEWARD RD
BOWIE MD
20720-3364
US

V. Phone/Fax

Practice location:
  • Phone: 240-615-6957
  • Fax:
Mailing address:
  • Phone: 240-615-6957
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: