Individual
ADEDIRAN TOBI ONAGORUWA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1421 CHARING CROSS WAY, LAWRENCEVILLE, GA 30046-2880
(336) 382-9766
Mailing address
1421 CHARING CROSS WAY, LAWRENCEVILLE, GA 30046-2880
(336) 382-9766
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
244450
NC
Other
Enumeration date
05/17/2021
Last updated
05/17/2021
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