Individual
NANA OWOLABI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9062 PINEVIEW LN, CROWN POINT, IN 46307-1584
(219) 750-9910
Mailing address
9062 PINEVIEW LN, CROWN POINT, IN 46307-1584
(219) 750-9910
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
—
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
07/13/2016
Last updated
11/07/2016
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