Individual
FUNMILOLA IDOWU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7301 FOREST AVE, RICHMOND, VA 23226-3792
(804) 288-2742
(804) 288-9053
Mailing address
7301 FOREST AVE, RICHMOND, VA 23226-3792
(804) 288-2742
(804) 288-9053
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
0024167377
VA
Other
Enumeration date
10/22/2012
Last updated
10/22/2012
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