Individual
OLUBUKOLA AJAYI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
101 BACON ST, PAWTUCKET, RI 02860-5542
(401) 722-3560
(401) 722-8522
Mailing address
101 BACON ST, PAWTUCKET, RI 02860-5542
(401) 722-3560
(401) 722-8522
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
RN50459
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GH57134
—
RI
Enumeration date
03/22/2012
Last updated
03/22/2012
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