Individual
ADETOLA OLOBATUYI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
175 GWINNETT DR, LAWRENCEVILLE, GA 30046-8444
(678) 209-2394
Mailing address
1436 HAYNES TRACE CT, GRAYSON, GA 30017-2898
(770) 744-6850
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
RN166394
GA
Other
Enumeration date
04/16/2020
Last updated
04/16/2020
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