Individual
FATAI OLORUNSOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
644 S 3RD ST APT W0224, LOUISVILLE, KY 40202-2452
(678) 900-4542
Mailing address
644 S 3RD ST APT W0224, LOUISVILLE, KY 40202-2452
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/22/2022
Last updated
04/22/2022
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