Individual
MRS. OMOBUKOLA OLAYIWADE ITUA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RVT
Contact information
Practice address
4 SKYLINE DR, HAZLET, NJ 07730-1679
(732) 910-2894
Mailing address
4 SKYLINE DR, HAZLET, NJ 07730-1679
(732) 910-2894
Taxonomy
Speciality
Code
Description
License number
State
2471V0105X
Vascular Sonography Radiologic Technologist
Primary
147925
NJ
Other
Enumeration date
10/01/2025
Last updated
10/01/2025
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