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Individual

ADIJAT OMOBOLANLE LIGALI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1111 6TH AVE STE 204, SAN DIEGO, CA 92101-5214
(415) 671-2165
Mailing address
2350 BUHNE ST, EUREKA, CA 95501-3238
(707) 443-4593

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95186824
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95025305
CA

Other

Enumeration date
10/26/2021
Last updated
11/12/2025
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