Individual
MRS. OMOTAYO JULIEANNE ABORISADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
ROUTE 10, MAIN STRRET, PINEVILLE, WV 24874
(304) 732-8886
Mailing address
683 CRANBERRY DR, MOUNT HOPE, WV 25880-9165
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP0007592
WV
Other
Enumeration date
03/24/2011
Last updated
03/24/2011
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