Individual
SHERIFAT OMOBOLA RAIMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8809 NW 84TH ST, OKLAHOMA CITY, OK 73132-4058
(405) 248-5891
Mailing address
8809 NW 84TH ST, OKLAHOMA CITY, OK 73132-4058
(405) 248-5890
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
127480
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
R082294011
—
OK
Enumeration date
09/29/2020
Last updated
09/29/2020
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