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Individual

ADEJOKE MELODY JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3424 KOSSUTH AVE, BRONX, NY 10467-2489
(718) 519-3817
Mailing address
2763 MORRIS AVE APT 204, BRONX, NY 10468-2843
(773) 629-9818

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
07/21/2022
Last updated
07/21/2022
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