Individual
GIFTTY ESEOISA OBADAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
4190 CITY AVE, PHILADELPHIA, PA 19131-1626
(215) 871-6694
Mailing address
6423 LANDOVER RD APT T3, CHEVERLY, MD 20785-1413
(832) 468-4579
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/09/2024
Last updated
05/09/2024
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