Individual
OLUBUSOLA TENIOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12225 NW 30TH MNR, SUNRISE, FL 33323-3001
(954) 850-1767
Mailing address
12225 NW 30TH MNR, SUNRISE, FL 33323-3001
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
9548536
FL
Other
Enumeration date
07/14/2025
Last updated
07/14/2025
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