Provider Demographics
NPI:1437044161
Name:OTTO ATUWOAH, JULIATA
Entity type:Individual
Prefix:
First Name:JULIATA
Middle Name:
Last Name:OTTO ATUWOAH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4229 58TH AVE APT T2
Mailing Address - Street 2:
Mailing Address - City:BLADENSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20710-1993
Mailing Address - Country:US
Mailing Address - Phone:202-470-8170
Mailing Address - Fax:
Practice Address - Street 1:4229 58TH AVE APT T2
Practice Address - Street 2:
Practice Address - City:BLADENSBURG
Practice Address - State:MD
Practice Address - Zip Code:20710-1993
Practice Address - Country:US
Practice Address - Phone:202-470-8170
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-11
Last Update Date:2025-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCHHA200005035374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide