Individual
MR. OLU I APANPA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DIETITIAN
Contact information
Practice address
15515 JAMAICA AVE # 11434, JAMAICA, NY 11432-3829
(917) 651-3684
Mailing address
15515 N CONDUIT AVE APT 6M, JAMAICA, NY 11434-4342
(917) 651-3684
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
005894
NY
Other
Enumeration date
04/11/2024
Last updated
04/11/2024
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