Individual
BOSE OYRONKE OLANIYI-ADEYEMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4177 HAVENWOOD CT NW, KENNESAW, GA 30144-7343
(678) 290-0070
(678) 290-0070
Mailing address
PO BOX 2754, KENNESAW, GA 30156-9113
(678) 290-0070
(678) 290-0235
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN083499
GA
Other
Enumeration date
05/08/2021
Last updated
05/08/2021
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