Individual
OLUBUNMI OLAIDE OLAWALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21 MAYOR THOMAS J MCGRATH HWY STE 306, QUINCY, MA 02169-5351
(781) 742-0834
(781) 459-2666
Mailing address
21 MAYOR THOMAS J MCGRATH HWY STE 306, QUINCY, MA 02169-5351
(781) 742-0834
(781) 459-2666
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
RN2264640
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2264640
MA
Other
Enumeration date
08/23/2018
Last updated
08/20/2025
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