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NPI Code Detail

MEDICARE: MR. OJO ROTIMI OLATOKUNBO

MEDICARE: MR. OJO ROTIMI OLATOKUNBO
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
1374U00000XHome Health Aide

General Provider Information

NPI Number : 1881952968
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. OJO ROTIMI OLATOKUNBO
Provider Business Mailing Address
First Line : 5016 TOWNSEND WAY APT B2
Second Line :
City : BLADENSBURG
State : MD
Zip : 20710-1888
Country : US
Telephone Number : 240-330-5492
Fax Number :
Provider Business Practice Location Address
First Line : 2312 RHODE ISLAND AVE NE
Second Line :
City : WASHINGTON
State : DC
Zip : 20018-2829
Country : US
Telephone Number : 202-636-6006
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/26/2012
Last Update Date : 04/26/2012

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