Individual
MR. OMOABHIENA JOSEPH OKODUWA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
915 N GRAND BLVD, SAINT LOUIS, MO 63106-1621
(314) 652-4100
Mailing address
709 BIDDLE ST APT F, SAINT LOUIS, MO 63106-4630
(443) 470-2850
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2020024609
MO
Other
Enumeration date
05/14/2021
Last updated
05/14/2021
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