Individual
OLASUNBO YETUNDE IBRAHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP- BC
Contact information
Practice address
529 MAIN ST STE 222, CHARLESTOWN, MA 02129-1101
(617) 426-0600
Mailing address
529 MAIN ST STE 222, CHARLESTOWN, MA 02129-1101
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN2296421
MA
Other
Enumeration date
07/30/2022
Last updated
01/06/2023
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