Individual
OMOLARA OMOTUNDE-ONIWE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S, M.ED, CDN, LPN
Contact information
Practice address
13720 171ST ST, JAMAICA, NY 11434-4506
(917) 748-1524
Mailing address
137-20 171ST STREET, JAMAICA, NY 11434
(917) 748-1524
Taxonomy
Speciality
Code
Description
License number
State
282E00000X
Long Term Care Hospital
Primary
312344
NY
Other
Enumeration date
03/15/2017
Last updated
03/15/2017
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