Individual
OLUSOLA TIJANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6110 MAIN ST STE B, ZACHARY, LA 70791-4079
(225) 570-4070
Mailing address
6300 MAIN ST, ZACHARY, LA 70791-4037
(225) 658-4000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
329612
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/13/2018
Last updated
12/17/2021
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