Individual
ADEBISI ADEDOYIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
2813 MAXWELL ST, PHILA, PA 19136-1018
(267) 247-2007
Mailing address
2813 MAXWELL ST, PHILA, PA 19136-1018
(267) 247-2007
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN22267
PA
Other
Enumeration date
10/23/2021
Last updated
10/23/2021
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