Individual
FOLASADE BOLANLE ALAGBADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHA, MSN, BSN, RN
Contact information
Practice address
43825 MICHIGAN AVE, CANTON, MI 48188-2551
(734) 397-3088
Mailing address
43825 MICHIGAN AVE, CANTON, MI 48188-2551
(734) 397-3088
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
4704284236
MI
Other
Enumeration date
07/07/2016
Last updated
07/07/2016
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