Individual
ELIZABETH TEMITOPE OLUWOLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11823 CHANERA AVE, HAWTHORNE, CA 90250-1825
(661) 448-7091
Mailing address
11823 CHANERA AVE, HAWTHORNE, CA 90250-1825
(661) 448-7091
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95010653
CA
Other
Enumeration date
08/14/2019
Last updated
08/14/2019
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