Individual
AYODEJI GREGORIO OKUSANYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
325 HOSPITALITY LANE, SAN BERNARDINO, CA 92408
(866) 205-3595
Mailing address
325 HOSPITALITY LANE, SAN BERNARDINO, CA 92408
(866) 205-3595
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A159981
CA
Other
Enumeration date
04/14/2016
Last updated
12/06/2021
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