Individual
ADETOMI OMOTAYO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3300 COUNTY ROAD 10, 300G, BROOKLYN CENTER, MN 55429-3072
(612) 481-4636
Mailing address
3300 COUNTY ROAD 10, 300G, BROOKLYN CENTER, MN 55429-3072
(612) 481-4636
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
211923-2
MN
Other
Enumeration date
04/13/2017
Last updated
04/13/2017
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