Individual
OLASUNKANMI SAMUEL ADESEMOYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
60 MDG/ SGCJ, 101 BODIN CIRCLE, TRAVIS AFB, CA 94535-1809
(707) 423-3000
Mailing address
60 MDG/ SGCJ, 101 BODIN CIRCLE, TRAVIS AFB, CA 94535-1809
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
95287646
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
95002699
CA
Other
Enumeration date
07/06/2022
Last updated
10/09/2025
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