Individual
MODUPE R OPAPEJU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1801 69TH AVE S, ST PETERSBURG, FL 33712-5924
(727) 656-0077
Mailing address
1801 69TH AVE S, ST PETERSBURG, FL 33712-5924
(727) 656-0077
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
RN9310635
FL
Other
Enumeration date
11/09/2016
Last updated
11/09/2016
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