Individual
MR. SONNY/ OMODEHINDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
N/A
Contact information
Practice address
10188 HASKINS ST, LENEXA, KS 66215-1858
(913) 908-7916
Mailing address
10188 HASKINS ST, LENEXA, KS 66215-1858
(913) 908-7916
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
A046184
KS
Other
Enumeration date
02/17/2012
Last updated
02/17/2012
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