Individual
ODUNAYO OLUWAKEMI RASAKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5123 JUAN TABO BLVD NE, ALBUQUERQUE, NM 87111-2672
(505) 292-3333
Mailing address
2406 WILDWIND RD, LAS CRUCES, NM 88007-5503
(800) 831-5105
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
54779
NM
Other
Enumeration date
06/08/2023
Last updated
06/08/2023
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