Provider Demographics
NPI:1063247013
Name:AFOLABI, UWA
Entity type:Individual
Prefix:
First Name:UWA
Middle Name:
Last Name:AFOLABI
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 1:5671 E FOUNTAIN CIR
Mailing Address - Street 2:
Mailing Address - City:MASON
Mailing Address - State:OH
Mailing Address - Zip Code:45040-7312
Mailing Address - Country:US
Mailing Address - Phone:513-652-3370
Mailing Address - Fax:
Practice Address - Street 1:5671 E FOUNTAIN CIR
Practice Address - Street 2:
Practice Address - City:MASON
Practice Address - State:OH
Practice Address - Zip Code:45040-7312
Practice Address - Country:US
Practice Address - Phone:513-652-3370
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-07
Last Update Date:2024-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide