Individual
ADEMOLA I RAJI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1924 9TH AVE APT 202, OAKLAND, CA 94606-2634
(415) 425-6483
Mailing address
1924 9TH AVE APT 202, OAKLAND, CA 94606-2634
(415) 425-6483
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
F8138136
CA
Other
Enumeration date
07/23/2019
Last updated
07/23/2019
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