Provider Demographics
NPI:1992109763
Name:OKE, AYODELE
Entity type:Individual
Prefix:
First Name:AYODELE
Middle Name:
Last Name:OKE
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 1:2920 HANNAH AVE APT C122
Mailing Address - Street 2:
Mailing Address - City:EAST NORRITON
Mailing Address - State:PA
Mailing Address - Zip Code:19401-1549
Mailing Address - Country:US
Mailing Address - Phone:484-358-7798
Mailing Address - Fax:
Practice Address - Street 1:2920 HANNAH AVE APT C122
Practice Address - Street 2:
Practice Address - City:EAST NORRITON
Practice Address - State:PA
Practice Address - Zip Code:19401-1549
Practice Address - Country:US
Practice Address - Phone:484-358-7798
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-22
Last Update Date:2014-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251X00000XAgenciesSupports Brokerage