Individual
ADEPOJU SALAKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7248 ELMWOOD AVE, PHILADELPHIA, PA 19142-1533
(267) 292-2876
Mailing address
7248 ELMWOOD AVE, PHILADELPHIA, PA 19142-1533
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN303043
PA
Other
Enumeration date
11/02/2018
Last updated
11/02/2018
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