Individual
MR. IBRAHIM ADEWALE SOFOLAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OWNER
Contact information
Practice address
75 INDEPENDENCE WAY APT 10313, CRANSTON, RI 02921-2046
(228) 313-9209
Mailing address
75 INDEPENDENCE WAY APT 10313, CRANSTON, RI 02921-2046
(228) 313-9209
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
PMV-578
RI
Other
Enumeration date
06/26/2024
Last updated
06/26/2024
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