Individual
ROSELINE OMOLOLA POPOOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
652 FOXTAIL DR, FLORISSANT, MO 63034-2035
(314) 583-2694
Mailing address
652 FOXTAIL DR, FLORISSANT, MO 63034-2035
(314) 583-2694
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
123336
MO
Other
Enumeration date
09/08/2020
Last updated
09/08/2020
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