Provider Demographics
NPI:1356215206
Name:MAWULI, DUROJAIYE TICHAWONNA (NCPT)
Entity type:Individual
Prefix:MR
First Name:DUROJAIYE
Middle Name:TICHAWONNA
Last Name:MAWULI
Suffix:
Gender:M
Credentials:NCPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1611 18TH ST SE APT 4
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20020-5471
Mailing Address - Country:US
Mailing Address - Phone:202-607-3392
Mailing Address - Fax:
Practice Address - Street 1:1611 18TH ST SE APT 4
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20020-5471
Practice Address - Country:US
Practice Address - Phone:202-607-3392
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-02
Last Update Date:2025-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC01OABUS146D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146D00000XEmergency Medical Service ProvidersPersonal Emergency Response Attendant