Individual
ADEBOLA AO EGERONGBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
18341 SHERMAN WAY, UNIT 209A, RESEDA, CA 91335-4472
(818) 342-6200
(818) 342-6202
Mailing address
18341 SHERMAN WAY, UNIT 209A, RESEDA, CA 91335-4472
(818) 342-6200
(818) 342-6202
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
47983
CA
Other
Enumeration date
12/10/2007
Last updated
03/05/2008
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