Individual
IYANUOLUWA OLUWAFUNMISO ALONGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2009 LEWIS DRIVE, WILLINGBORO, NJ 08046
(609) 772-0222
Mailing address
2009 LEWIS DR, WILLINGBORO, NJ 08046-2581
(609) 772-0222
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/29/2018
Last updated
08/29/2018
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