Individual
OLUWATOYIN DARAMOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4320 E 163RD ST, CLEVELAND, OH 44128-2408
(216) 583-6160
Mailing address
4320 E 163RD ST, CLEVELAND, OH 44128-2408
(216) 583-6160
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
376J00000X
Homemaker
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0206453
—
OH
Enumeration date
12/21/2020
Last updated
12/21/2020
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