Individual
EMMANUEL OLUWOLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
436 ELLIS AVE, DARBY, PA 19023-2708
(267) 205-7155
Mailing address
436 ELLIS AVE, DARBY, PA 19023-2708
(267) 205-7155
Taxonomy
Speciality
Code
Description
License number
State
163WC3500X
Cardiac Rehabilitation Registered Nurse
Primary
TGRN081430
PA
Other
Enumeration date
09/24/2018
Last updated
09/24/2018
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