Individual
OLABISI A ADEBOWALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NA
Contact information
Practice address
24877 SUNNYMEAD BLVD, MORENO VALLEY, CA 92553-3702
(951) 924-8500
(951) 924-0151
Mailing address
24877 SUNNYMEAD BLVD, MORENO VALLEY, CA 92553-3702
(951) 924-8500
(951) 924-0151
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
103355
CA
Other
Enumeration date
06/21/2006
Last updated
07/09/2007
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