Individual
OLUMUYIWA OLUDARE OLUYEMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
648 S 19TH ST APT 2, NEWARK, NJ 07103-1179
(717) 727-6647
Mailing address
648 S 19TH ST APT 2, NEWARK, NJ 07103-1179
(717) 727-6647
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
056736047609871
NJ
Other
Enumeration date
09/27/2023
Last updated
09/27/2023
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