Individual
BOLA OMOLAJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
150 DREISER LOOP, APARTMENT 14F, BRONX, NY 10475-1931
(347) 579-3437
Mailing address
150 DREISER LOOP, APARTMENT 14F, BRONX, NY 10475-1931
(347) 579-3437
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
321062-1
NY
Other
Enumeration date
01/13/2015
Last updated
01/13/2015
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