Individual
BABATUNDE SHITTU OLUWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
251 LLEWELLYN AVE, CAMPBELL, CA 95008-1940
(408) 364-4083
Mailing address
512 LEIGH AVE, SAN JOSE, CA 95128-2326
(336) 456-9758
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
41382
CA
Other
Enumeration date
02/21/2020
Last updated
02/21/2020
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