Individual
MICHAEL OLUSEGUN ADEDURO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
4653 VAHAN CT, LANCASTER, CA 93536-6880
(661) 916-5608
Mailing address
4653 VAHAN CT, LANCASTER, CA 93536-6880
(661) 916-5608
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95023296
CA
Other
Enumeration date
11/14/2022
Last updated
11/14/2022
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