Individual
ABIMBOLA LASISI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1255 S BYRNE RD APT C214, TOLEDO, OH 43614-2392
(157) 127-4244
Mailing address
1255 S BYRNE RD APT C214, TOLEDO, OH 43614-2392
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
RN.453493
OH
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
—
—
374U00000X
Home Health Aide
—
—
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
02/25/2019
Last updated
02/25/2019
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