Individual
BOLANLE O AIYEOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAGOS
Contact information
Practice address
2876 BAY BERRY DR SW, MARIETTA, GA 30008-5676
(404) 229-8717
Mailing address
2876 BAY BERRY DR SW, MARIETTA, GA 30008-5676
(404) 229-8717
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN046546
GA
Other
Enumeration date
11/03/2025
Last updated
11/03/2025
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