Individual
WAHEED OLAWOYIN OLABODE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
12853 S 184TH AVE, GOODYEAR, AZ 85338-2642
(503) 333-0174
Mailing address
14780 W MOUNTAIN VIEW BLVD STE 110, SURPRISE, AZ 85374-7280
(623) 777-7973
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
220581
AZ
Other
Enumeration date
01/08/2019
Last updated
06/11/2019
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