Individual
DR. AYO K BANKOLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ND, PA
Contact information
Practice address
314 N MOUNTAIN AVE, UPLAND, CA 91786
(909) 981-9200
(909) 982-9220
Mailing address
314 N MOUNTAIN AVE, UPLAND, CA 91786
(909) 981-9200
(909) 982-9220
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
ND-161
CA
363A00000X
Physician Assistant
14919
CA
363A00000X
Physician Assistant
PA-14919
CA
Other
Enumeration date
07/27/2006
Last updated
11/11/2010
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