Individual
ABOSEDE ADETOUN THOMASOGUNDEINDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
303 MAIN ST, APT 241, HEMPSTEAD, NY 11550-1427
(518) 409-9322
Mailing address
420 N CORONA AVE, VALLEY STREAM, NY 11580-2602
(518) 409-9322
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
315975
NY
Other
Enumeration date
08/03/2015
Last updated
10/10/2018
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