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Individual

MS. ADESHOLA ENUYOKAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
71 VALLEY ST STE 202, SOUTH ORANGE, NJ 07079-2825
(973) 821-5841
(973) 821-5845
Mailing address
71 VALLEY ST STE 202, SOUTH ORANGE, NJ 07079-2825
(973) 821-5841
(973) 821-5845

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0586862
NJ
Enumeration date
03/15/2018
Last updated
03/15/2018
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