Individual
BUKOLA OGUNLEYE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1024 LONEY ST, PHILADELPHIA, PA 19111-2625
(267) 888-0512
Mailing address
1024 LONEY ST, PHILADELPHIA, PA 19111-2625
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP035306
PA
Other
Enumeration date
03/07/2026
Last updated
03/07/2026
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