Individual
ALIMOT MAYOWA ODEWALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1133 EAGLES LANDING PKWY, STOCKBRIDGE, GA 30281-5085
(678) 604-1053
Mailing address
401 HERON LN, MARTINEZ, CA 94553-4314
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95127163
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
RN256250
GA
Other
Enumeration date
06/30/2021
Last updated
04/11/2023
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