Individual
DR. AYODALE SAMUELLA ODULATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7601 PIONEERS BLVD, LINCOLN, NE 68506-4675
(402) 484-6677
Mailing address
3660 ARLINGTON AVE, RIVERSIDE, CA 92506-3912
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A104364
CA
208D00000X
General Practice Physician
225130
MA
Other
Enumeration date
03/06/2006
Last updated
01/28/2022
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