Individual
MR. EMMANUEL A OBATOLU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4100 WOODWILLOW LN, ELK GROVE, CA 95758-3959
(916) 248-1618
(916) 533-6648
Mailing address
1661 BELINDA WAY, SACRAMENTO, CA 95822-5109
(916) 248-1618
(916) 533-6648
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
FBN201309848
CA
Other
Enumeration date
04/14/2014
Last updated
04/14/2014
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