Individual
KIKELOMO OMOTOSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2500 CANYON RD, STE A1, BULLHEAD CITY, AZ 86442
(928) 704-4499
(928) 704-4949
Mailing address
2500 CANYON RD, STE A1, BULLHEAD CITY, AZ 86442
(928) 704-4499
(928) 704-4949
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
8360
AZ
Other
Enumeration date
03/09/2016
Last updated
12/15/2016
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