Individual
ABOSEDE OLADELE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15532 114TH RD FL 1, JAMAICA, NY 11434-1004
(646) 359-9875
Mailing address
15532 114TH RD FL 1, JAMAICA, NY 11434-1004
(646) 359-9875
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
332679
NY
Other
Enumeration date
06/13/2019
Last updated
06/13/2019
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