Organization
KINGDOM OASIS HEALTH AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLORIA OLATUBOSUN NP (NURSE PRACTITIONER MENTAL HEALTH)
(551) 275-5674
Entity
Organization
Contact information
Practice address
519 LAKEHURST RD STE 92, BROWNS MILLS, NJ 08015-6000
(551) 275-5674
Mailing address
519 LAKEHURST RD STE 92, BROWNS MILLS, NJ 08015-6000
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/22/2024
Last updated
06/03/2025
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