Individual
OLUSEGUN OLAYELE III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
435 ORANGE SHOW LN, SUITE 102, SAN BERNARDINO, CA 92408-2015
(909) 888-2966
(909) 888-5322
Mailing address
435 ORANGE SHOW LN, SUITE 102, SAN BERNARDINO, CA 92408-2015
(909) 888-2966
(909) 888-5322
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
46159
CA
Other
Enumeration date
04/24/2007
Last updated
03/24/2008
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