Individual
AYOMIDAMOPE RUTH ADEBIYI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5200 N LAKE RD, MERCED, CA 95343-5001
(209) 228-0010
Mailing address
5200 N LAKE RD, MERCED, CA 95343-5001
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95018229
CA
363LX0106X
Occupational Health Nurse Practitioner
95018229
CA
Other
Enumeration date
08/30/2021
Last updated
08/30/2021
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