Individual
ABIMBOLA ETOU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3400 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-5127
(215) 439-2500
Mailing address
6 JONES DR, GARNET VALLEY, PA 19060-1214
(215) 439-2500
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP029118
PA
Other
Enumeration date
06/14/2010
Last updated
01/22/2024
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