Provider Demographics
NPI:1811678188
Name:AWOTOYINBO, FOLAKE
Entity type:Individual
Prefix:
First Name:FOLAKE
Middle Name:
Last Name:AWOTOYINBO
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 1:3701 TOWN LAKE CT. APT.717
Mailing Address - Street 2:
Mailing Address - City:WINDSOR MILL
Mailing Address - State:MD
Mailing Address - Zip Code:21244
Mailing Address - Country:US
Mailing Address - Phone:240-486-2197
Mailing Address - Fax:
Practice Address - Street 1:3701 TOWN LAKE CT. APT.717
Practice Address - Street 2:
Practice Address - City:WINDSOR MILL
Practice Address - State:MD
Practice Address - Zip Code:21244-3309
Practice Address - Country:US
Practice Address - Phone:240-486-2197
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-28
Last Update Date:2023-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide