Individual
MRS. MODUPE MUYIBATU AJAYI I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5939 VEGAS DR, LAS VEGAS, NV 89108-2422
(702) 241-8755
Mailing address
5939 VEGAS DR, LAS VEGAS, NV 89108-2422
(702) 241-8755
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
09/30/2022
Last updated
09/30/2022
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