Individual
LATIFAT ADEKUNLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10011 J STREET, OMAHA, NE 68127
(402) 896-9988
Mailing address
4980 S 118TH ST, OMAHA, NE 68137-2200
(402) 896-3884
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
78590
NE
Other
Enumeration date
04/14/2017
Last updated
04/14/2017
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