Individual
JEREMY AJAYI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
651 SCHILLER ST APT 212, SUN PRAIRIE, WI 53590-2046
(608) 977-4023
Mailing address
651 SCHILLER ST APT 212, SUN PRAIRIE, WI 53590-2046
(608) 977-4023
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
09/24/2018
Last updated
09/24/2018
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