Individual
BABATOMIWA ARAMIDE ADESANYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
10620 S 54TH DR, LAVEEN, AZ 85339-4508
(256) 504-6268
Mailing address
10620 S 54TH DR, LAVEEN, AZ 85339-4508
(256) 504-6268
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
290817
AZ
Other
Enumeration date
10/06/2023
Last updated
10/06/2023
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