Individual
BOSEDE O AWOYINFA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3005 LENORA CHURCH RD STE A, SNELLVILLE, GA 30078-3688
(770) 979-9157
Mailing address
1720 TUFTSTOWN CT, SNELLVILLE, GA 30078-2588
(678) 344-7073
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN169727
GA
Other
Enumeration date
01/16/2007
Last updated
07/08/2007
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