Individual
AFEEZ BABATUNDE GBADAMOSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6506 BAREBACK TER, NORTH CHESTERFIELD, VA 23234-4197
(804) 490-3713
Mailing address
6506 BAREBACK TER, NORTH CHESTERFIELD, VA 23234-4197
(804) 490-3713
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0002104892
VA
Other
Enumeration date
09/23/2024
Last updated
09/23/2024
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