Individual
AYOMIDE OLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2160 CATON AVE APT 6F, BROOKLYN, NY 11226-2563
(917) 375-0638
Mailing address
2160 CATON AVE APT 6F, BROOKLYN, NY 11226-2563
(917) 375-0638
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
767284
NY
Other
Enumeration date
04/13/2019
Last updated
04/13/2019
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