Individual
OMOLARA LANRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
34 HARTFORD STREET, DORCHESTER, MA 02125-2836
(617) 319-6430
Mailing address
34 HARTFORD STREET, APT 2, DORCHESTER, MA 02125
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
279009
MA
163WH0200X
Home Health Registered Nurse
Primary
279009
MA
Other
Enumeration date
02/23/2009
Last updated
08/16/2024
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