Individual
OLUWADARE OLANIPEKUN AWOLOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CNA
Contact information
Practice address
105 DRACUT AVE, WATERBURY, CT 06704-2207
(347) 517-5904
Mailing address
105 DRACUT AVE, WATERBURY, CT 06704-2207
(347) 517-5904
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
NA9986934
CT
Other
Enumeration date
05/24/2010
Last updated
05/24/2010
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