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Individual

MRS. KEMI OSILESI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
AGNP

Contact information

Practice address
1943 SEASONS ST, SIMI VALLEY, CA 93065-0580
(310) 503-2515
Mailing address
2828 COCHRAN ST STE 492, SIMI VALLEY, CA 93065-2780
(310) 503-2515

Taxonomy

Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
AG10190130
CA

Other

Enumeration date
11/07/2019
Last updated
11/07/2019
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