Individual
KEHINDE TINUOLA SOBAMOWO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3373 FENTON AVE, BRONX, NY 10469-2818
(212) 719-9600
Mailing address
45 N ELLIOTT PL, BROOKLYN, NY 11205-1043
(212) 719-9600
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
598224
NY
Other
Enumeration date
10/26/2009
Last updated
10/26/2009
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