Individual
OMOWUNMI JOLAOSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, CSCS
Contact information
Practice address
84 BOWERY ST APT 1, FROSTBURG, MD 21532-1832
(267) 475-8034
Mailing address
84 BOWERY ST APT 1, FROSTBURG, MD 21532-1832
(267) 475-8034
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
A0001134
MD
Other
Enumeration date
03/05/2019
Last updated
03/05/2019
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