Individual
JOHN A OLATUNDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
22124 W BRANDON ST, FARMINGTON HILLS, MI 48336-3833
(248) 747-2230
Mailing address
22124 W BRANDON ST, FARMINGTON HILLS, MI 48336-3833
(248) 747-2230
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0435429078275
DRIVER LICENSE
MI
Enumeration date
08/01/2019
Last updated
08/06/2019
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