Individual
ABOSEDE T OGUNWALE-LAOSEBIKAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
12 EAST DR, APT 2E, BRENTWOOD, NY 11717-1171
(631) 882-7541
Mailing address
12 EAST DR, APT 2E, BRENTWOOD, NY 11717-1171
(631) 882-7541
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
595278-1
NY
Other
Enumeration date
09/29/2009
Last updated
09/29/2009
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