Provider Demographics
NPI:1992428718
Name:ALAO-SANNI, TEMITOPE OMOWUNMI
Entity type:Individual
Prefix:
First Name:TEMITOPE
Middle Name:OMOWUNMI
Last Name:ALAO-SANNI
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 1:5096 ATLANTIS LN
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:MD
Mailing Address - Zip Code:20695-3178
Mailing Address - Country:US
Mailing Address - Phone:240-691-3561
Mailing Address - Fax:
Practice Address - Street 1:5096 ATLANTIS LN
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:MD
Practice Address - Zip Code:20695-3178
Practice Address - Country:US
Practice Address - Phone:240-691-3561
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-26
Last Update Date:2023-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education