Individual
BOSEDE BABALOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
105 N 30TH ST, HARRISBURG, PA 17111-1616
(717) 889-2448
Mailing address
105 N 30TH ST, HARRISBURG, PA 17111-1616
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
RN703621
PA
Other
Enumeration date
09/30/2024
Last updated
09/30/2024
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