Individual
ADEFUNKE RACHEL ODUJOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9698 HAMES AVE S, COTTAGE GROVE, MN 55016-3871
(651) 434-5748
Mailing address
9698 HAMES AVE S, COTTAGE GROVE, MN 55016-3871
(651) 434-5748
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
8170
MN
Other
Enumeration date
05/04/2021
Last updated
05/04/2021
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