Individual
MISS BOLANLE ADENIKE OGUNDOKUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
8825 163RD STREET, JAMAICA, NY 11432
(718) 739-0045
(718) 739-0102
Mailing address
8825 163RD STREET, JAMAICA, NY 11432
(718) 739-0045
(718) 739-0102
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
690496
NY
Other
Enumeration date
08/27/2008
Last updated
10/21/2015
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