Individual
OLUWAFEMI BANJO
Active
Individual
OLUWAFEMI BANJO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
RN1010237
DC
367500000X
Certified Registered Nurse Anesthetist
Primary
0024172424
VA
367500000X
Certified Registered Nurse Anesthetist
AC001344
MD
367500000X
Certified Registered Nurse Anesthetist
RN1010237
DC
Other
Enumeration date
11/28/2011
Last updated
07/29/2021
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