Individual
ABOLADE ODUMOSU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
67 CAROLINE AVE, ELMONT, NY 11003-5017
(347) 267-2202
Mailing address
67 CAROLINE AVE, ELMONT, NY 11003-5017
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
260694
NY
Other
Enumeration date
09/11/2019
Last updated
09/11/2019
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