Individual
BOLA D AJIBOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NUTRITIONIST, CWP
Contact information
Practice address
1035 14TH AVE N, NASHVILLE, TN 37208-3050
(615) 294-5122
Mailing address
PO BOX 1127, MOUNT JULIET, TN 37121-1127
(615) 294-5122
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
—
—
Other
Enumeration date
07/25/2007
Last updated
11/19/2014
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