Individual
MS. OLOLADE OLAMIDE OBAFEMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
12954 HAWTHORNE BOULEVARD, SUITE 104, HAWTHORNE MORNINGSIDE MEDICAL CLINIC, HAWTHORNE, CA 90250
(310) 679-0269
Mailing address
644 COLORADO CIR, CARSON, CA 90745-2855
(310) 985-5794
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
95005741
CA
Other
Enumeration date
07/03/2017
Last updated
07/03/2017
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