Individual
DR. MAYOWA ADESINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP, PMHNP
Contact information
Practice address
24613 HUDSON ST, MORENO VALLEY, CA 92551-6973
(909) 327-8360
(909) 247-3328
Mailing address
24613 HUDSON ST, MORENO VALLEY, CA 92551-6973
(909) 327-8360
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95024352
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95024352
NP LICENSE NUMBER & NP FURNISHING
CA
Enumeration date
02/21/2023
Last updated
05/10/2024
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