Individual
MR. WALE MUYIWA OLUKANMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
44750 60TH ST W, LANCASTER, CA 93536-7619
(661) 729-2000
Mailing address
PO BOX 1675, LANCASTER, CA 93539-1675
(310) 663-3122
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA16609
CA
Other
Enumeration date
04/19/2007
Last updated
12/22/2021
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