Individual
OLUBUNMI OGUNDIMINEGHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5621 CHAMPIONS DR, PACE, FL 32571-8417
(774) 253-4035
Mailing address
5621 CHAMPIONS DR, PACE, FL 32571-8417
(774) 253-4035
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
12/11/2014
Last updated
12/11/2014
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