Provider Demographics
NPI:1386428589
Name:FASHINA, AYOBAMI
Entity type:Individual
Prefix:
First Name:AYOBAMI
Middle Name:
Last Name:FASHINA
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 1:7406 SINGLETREE LN
Mailing Address - Street 2:
Mailing Address - City:JESSUP
Mailing Address - State:MD
Mailing Address - Zip Code:20794-8706
Mailing Address - Country:US
Mailing Address - Phone:202-664-3977
Mailing Address - Fax:301-971-9513
Practice Address - Street 1:7406 SINGLETREE LN
Practice Address - Street 2:
Practice Address - City:JESSUP
Practice Address - State:MD
Practice Address - Zip Code:20794-8706
Practice Address - Country:US
Practice Address - Phone:202-664-3977
Practice Address - Fax:301-971-9513
Is Sole Proprietor?:No
Enumeration Date:2023-08-21
Last Update Date:2023-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker