Individual
DR. BOLAJI GABRIEL BABATUNDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DHA, CPHQ
Contact information
Practice address
9612 E. FOOTHILLL BLVD UNIT 110, RANCHO CUCAMONGA, CA 91730-3547
(909) 231-0098
Mailing address
9612 E. FOOTHILLL BLVD UNIT 110, RANCHO CUCAMONGA, CA 91730-3547
(909) 231-0098
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
649828
CA
163WA2000X
Administrator Registered Nurse
RN648928
CA
163WH1000X
Hospice Registered Nurse
RN648928
CA
Other
Enumeration date
07/23/2021
Last updated
07/23/2021
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