Individual
ADEWALE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LVN
Contact information
Practice address
1675 MORENA BLVD, SAN DIEGO, CA 92110-3703
(619) 275-8000
Mailing address
1675 MORENA BLVD, SAN DIEGO, CA 92110-3703
(619) 275-8000
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
277877
CA
Other
Enumeration date
04/08/2015
Last updated
04/08/2015
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