Individual
MRS. BUSOLA R JIMOH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
8831 CORBIN DR, EVERETT, WA 98204-7149
(425) 418-1732
(425) 582-8161
Mailing address
15119 19TH PL W, LYNNWOOD, WA 98087-8764
(425) 418-1732
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
00048251
WA
Other
Enumeration date
04/27/2023
Last updated
04/27/2023
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