Individual
MRS. ANNIE MAUDE OMONIYI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
12643 NW 7TH PL, NEWBERRY, FL 32669-0169
(352) 405-7077
(407) 602-0015
Mailing address
1731 NW 6TH ST, GAINESVILLE, FL 32609-8554
(352) 405-7077
(407) 602-0015
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
RN9607983
FL
Other
Enumeration date
11/21/2022
Last updated
08/05/2024
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