Individual
OLUBOLA TOMILOLA ADESUYI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8609 WESTWOOD CENTER DR STE 110, VIENNA, VA 22182-7525
(703) 722-4828
Mailing address
12751 FAIR LAKES CIRCLE APT 403, FAIRFAX, VA 22033
(509) 339-4456
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
24192768
VA
Other
Enumeration date
03/04/2025
Last updated
10/20/2025
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