Individual
MR. KINGSLEY AZEEZ AYOOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11 LITTLE CIR, MIDDLETOWN, DE 19709
(302) 559-3226
Mailing address
11 LITTLE CIR, MIDDLETOWN, DE 19709
(302) 559-3226
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
L8-0000207
DE
Other
Enumeration date
01/15/2020
Last updated
06/16/2020
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