Individual
MORIAM T BOLAJI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
42 LINCOLN AVE APT 1L, BROOKLYN, NY 11208-1538
(347) 337-4800
Mailing address
42 LINCOLN AVE APT 1L, BROOKLYN, NY 11208-1538
(347) 337-4800
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
2787706
NY
Other
Enumeration date
02/19/2024
Last updated
02/19/2024
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