Individual
MRS. ADESUA VIVIAN ODIHIRIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
40 W MOSHOLU PKWY S, BRONX, NY 10468-1150
(347) 968-6367
Mailing address
40 W MOSHOLU PKWY S, BRONX, NY 10468-1150
(347) 968-6367
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
573093-1
NY
Other
Enumeration date
09/19/2008
Last updated
09/19/2008
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