Individual provider · NPI-1

Bolajoko Renee Adeniyi, M.D.

Internal Medicine · Tacoma, WA

NPI number1104112036
StatusActive
Last updated in NPPESMar 31, 2021

Details

NPI
1104112036
Entity type
Individual (NPI-1)
Name
Bolajoko Renee Adeniyi
Credential
M.D.
Sex
Female
Sole proprietor
No
Enumeration date
Jun 20, 2011
Certification date
Mar 31, 2021
Last updated
Mar 31, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine125060353ILYes

Practice location

1708 Yakima Ave Ste 120
Tacoma, WA 98405-5300

Phone 253-289-1363

Mailing address

1708 Yakima Ave Ste 120
Tacoma, WA 98405-5300

Phone 253-289-1363

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