Individual
OLANUBI I OWOKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
65 TROUT BROOK ROAD, DRACUT, MA 01826
(857) 249-6930
Mailing address
65 TROUT BROOK RD, DRACUT, MA 01826-4140
(857) 249-6930
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN97119
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05
—
MA
Enumeration date
04/28/2022
Last updated
06/12/2022
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