Individual
DIVINE OLUWATOSIN OJELADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
24060 FIR AVE STE A, MORENO VALLEY, CA 92553-2895
(951) 247-8005
Mailing address
16675 SHUNING CT, MORENO VALLEY, CA 92551-7491
(310) 909-4078
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95029823
CA
Other
Enumeration date
05/01/2024
Last updated
07/02/2024
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