Individual
MRS. HANNAH OLUFADEKE FATOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
14703 115TH AVE, JAMAICA, NY 11436-1104
(347) 276-8649
(718) 845-5283
Mailing address
14703 115TH AVE, JAMAICA, NY 11436-1104
(347) 276-8649
(718) 845-5283
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
630166
NY
Other
Enumeration date
10/24/2017
Last updated
10/24/2017
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