Individual
RACHEAL OLUFUNKE AJIBOYE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
681 CLARKSON AVE, BROOKLYN, NY 11203-2125
(718) 221-7700
Mailing address
10415 187TH ST, SAINT ALBANS, NY 11412-1028
(347) 495-8140
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
558887
NY
Other
Enumeration date
10/21/2019
Last updated
10/21/2019
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