Individual
MOYOSOLA MATILDA AYOOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1544 N 61ST ST, PHILA, PA 19151-4220
(215) 877-1303
(215) 494-1099
Mailing address
230 STIRRUP RD, LOGAN TOWNSHIP, NJ 08085-1465
(609) 271-9460
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
RN778016
PA
Other
Enumeration date
12/13/2024
Last updated
12/13/2024
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