Individual
KEMI SHADE AILERU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22207 7TH AVE S, DES MOINES, WA 98198-6221
(206) 588-5251
(206) 238-9564
Mailing address
1380 NW 199TH ST, MIAMI, FL 33169-2740
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11031591
FL
Other
Enumeration date
03/21/2024
Last updated
04/15/2025
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