Individual
OLABANJO J MOBAYO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
108 GUAYMAS DR, KISSIMMEE, FL 34743-9224
(770) 256-4384
Mailing address
108 GUAYMAS DR, KISSIMMEE, FL 34743-9224
(770) 256-4384
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
04/30/2021
Last updated
04/30/2021
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