Individual
BOLA OLANIYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2486 N GLENDALE RD, BENTON HARBOR, MI 49022-1855
(269) 925-6768
Mailing address
2486 N GLENDALE RD, BENTON HARBOR, MI 49022-1855
(269) 925-6768
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
4704229754
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
52-1590951
—
MI
Enumeration date
02/08/2017
Last updated
02/08/2017
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