Individual
EBUNOLUWA GRACE FASINU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2386 FREESTONE RIDGE CV, HOOVER, AL 35226-6243
(662) 380-6271
Mailing address
2386 FREESTONE RIDGE CV, HOOVER, AL 35226-6243
(662) 380-6271
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1-191654
AL
Other
Enumeration date
04/06/2026
Last updated
04/06/2026
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