Individual
BOSEDE OGUNWOMOJU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 ELGAR PL APT 28K, BRONX, NY 10475-5044
(347) 843-6780
Mailing address
100 ELGAR PL APT 28K, BRONX, NY 10475-5044
(347) 843-6780
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
314420-1
NY
Other
Enumeration date
10/17/2014
Last updated
10/17/2014
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