Individual
ADETOKUNBO ATINUKE ADEREMI-IBITOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
11351 RANDOM HILLS RD STE 200, FAIRFAX, VA 22030-6081
(443) 351-3376
Mailing address
PO BOX 23329, NEW YORK, NY 10087-3329
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110009227
VA
363A00000X
Physician Assistant
MA061310
PA
363A00000X
Physician Assistant
OA005119
PA
Other
Enumeration date
01/11/2020
Last updated
07/30/2026
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