Individual
DR. OMOLADE MAURICE-DIYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
10 GOVERNORS LN, CHICO, CA 95926-1991
(530) 343-4757
Mailing address
5006 GUNTREN RD, CHICO, CA 95973-8513
(352) 870-0139
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
A128419
CA
208VP0014X
Interventional Pain Medicine Physician
Primary
A128419
CA
Other
Enumeration date
04/10/2012
Last updated
11/04/2024
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