Organization
A BLISSFUL HAVEN AFH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLAMIDE ADETORO ADEWALE (PROVIDER)
(509) 230-2384
Entity
Organization
Contact information
Practice address
3031 S JEFFERSON ST, SPOKANE, WA 99203-1339
(509) 230-2384
(509) 838-7873
Mailing address
3031 S JEFFERSON ST, SPOKANE, WA 99203-1339
(509) 230-2384
(509) 838-7873
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN600034807
WA
Other
Enumeration date
06/27/2016
Last updated
06/27/2016
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