Individual
OLATAYO S AFOLABI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
728 TROY DR, MADISON, WI 53704-1559
(708) 501-1613
Mailing address
402 MOLLY LN, COTTAGE GROVE, WI 53527-8972
(708) 501-1613
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
07/09/2024
Last updated
07/09/2024
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