Individual
OMOLARA OLADUNNI AYODELE
Active
Individual
OMOLARA OLADUNNI AYODELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
014.361780
IL
363LA2200X
Adult Health Nurse Practitioner
209.012588
IL
363LG0600X
Gerontology Nurse Practitioner
Primary
209.012588
IL
Other
Enumeration date
03/12/2015
Last updated
03/01/2019
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