Individual
MRS. ABIODUN O ADIASOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3300 HENRY AVE, PHILADELPHIA, PA 19129-1141
(215) 475-3400
Mailing address
7725 DOE LN, GLENSIDE, PA 19038-7227
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
743322
PA
Other
Enumeration date
08/13/2021
Last updated
08/13/2021
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