Individual
FUNBI BOLANLE IWAJOMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
117 N CAROL BLVD, UPPER DARBY, PA 19082-1425
(267) 242-1614
Mailing address
117 N CAROL BLVD, UPPER DARBY, PA 19082-1425
(267) 242-1614
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
PA
Other
Enumeration date
01/23/2020
Last updated
01/23/2020
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