Individual
MODUPE LAWANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4337 E VAUGHN AVE, GILBERT, AZ 85234-0745
(415) 320-9709
Mailing address
4337 E VAUGHN AVE, GILBERT, AZ 85234-0745
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95059095
CA
Other
Enumeration date
03/28/2024
Last updated
03/28/2024
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