Individual
GBEMISOLA OMOLARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
434 MARLBERRY LEAF AVE, KISSIMMEE, FL 34758-3690
(347) 451-9895
Mailing address
434 MARLBERRY LEAF AVE, KISSIMMEE, FL 34758-3690
(347) 451-9895
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9351255
FL
Other
Enumeration date
07/26/2021
Last updated
07/26/2021
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