Provider Demographics
NPI:1902552243
Name:AJEWOLE, OLAYINKA ADEOLA
Entity Type:Individual
Prefix:
First Name:OLAYINKA
Middle Name:ADEOLA
Last Name:AJEWOLE
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 1:2111 I ST NE APT 2
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20002-3245
Mailing Address - Country:US
Mailing Address - Phone:202-977-8273
Mailing Address - Fax:
Practice Address - Street 1:2111 I ST NE APT 2
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20002-3245
Practice Address - Country:US
Practice Address - Phone:202-977-8273
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-24
Last Update Date:2023-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCHHA200003274374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide