Individual
OMOSALEWA ADEGBOYEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1666 E BERT KOUNS INDUSTRIAL LOOP STE 105, SHREVEPORT, LA 71105-5718
(318) 212-3520
(318) 212-3525
Mailing address
1666 E BERT KOUNS INDUSTRIAL LOOP STE 105, SHREVEPORT, LA 71105-5718
(318) 212-3520
(318) 212-3525
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP08414
LA
Other
Enumeration date
11/18/2015
Last updated
05/11/2026
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