Individual
MR. ADEFISOYE MARTIN ADEYEMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
203 W NOLAN WAY, CHANDLER, AZ 85248-6390
(339) 970-4867
Mailing address
203 W NOLAN WAY, CHANDLER, AZ 85248-6390
(339) 970-4867
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/30/2023
Last updated
03/30/2023
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