Individual
GRACE OLAJIDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
12029 142ND PL, JAMAICA, NY 11436-1410
(646) 851-6286
Mailing address
12029 142ND PL, JAMAICA, NY 11436-1410
(646) 851-6286
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F33377661
NY
Other
Enumeration date
04/29/2014
Last updated
04/29/2014
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