Individual
DR. OPETOMI OMORINSOLA SERIKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
8109 TIS WELL DRIVE, SUITE 511, ALEXANDRIA, VA 22306
(703) 779-9500
(703) 779-9502
Mailing address
803 PENNSYLVANIA AVE, KENNEDALE, TX 76060-5605
(817) 821-0579
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0102207980
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/10/2018
Last updated
09/20/2023
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