Individual
BOLANLE ODEJIDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RRT
Contact information
Practice address
4247 VILLAGE TRACE DR, INDIANAPOLIS, IN 46254-6229
(317) 366-7583
Mailing address
4247 VILLAGE TRACE DR, INDIANAPOLIS, IN 46254-6229
(317) 366-7583
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
30008466A
IN
Other
Enumeration date
06/14/2014
Last updated
06/14/2014
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