Individual
OLAMIDE OLAWALE KANMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1800 E 54TH ST, 1800 EAST 54 ST, BROOKLYN, NY 11234-4607
(347) 446-6995
Mailing address
1800 EAST 54 ST, BROOKLYN, NY 11234-4607
(347) 446-6995
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
09/25/2012
Last updated
09/25/2012
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