Most Relevant Information
Provider Data
| NPI Number: | 1003379645 |
| Provider Name: | DAISI A OMOYAYI |
| Entity Type: | Individual |
| Taxonomy Code: | 374U00000X |
| Specialty: | Home Health Aide |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/10/2019 |
| Last Updated: | 04/10/2019 |
Provider Practice Location
1720 S 341ST PL STE C2
FEDERAL WAY
WA
980036869
Practice Location Phone/Fax
| Phone: | 2063977718 |
| Fax: |
Provider Mailing Location
1720 S 341ST PL STE C2
FEDERAL WAY
WA
980036869
Provider Mailing Phone/Fax
| Phone: | 2063977718 |
| Fax: |