Individual
OMOTOLA FOLUSHO ADEMODI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
231 HAYSTACK AVE, PATASKALA, OH 43062-7356
(614) 787-0059
Mailing address
231 HAYSTACK AVE, PATASKALA, OH 43062-7356
(614) 787-0059
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
OH
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
01/04/2024
Last updated
01/04/2024
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