Individual
ADEOLA MORENIKE ATANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4814 CROSSCREEK DR, COLUMBUS, OH 43232-6190
(614) 452-3340
Mailing address
4814 CROSSCREEK DR, COLUMBUS, OH 43232-6190
(614) 452-3340
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
128944
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2818419
—
OH
Enumeration date
04/28/2008
Last updated
06/03/2016
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