Individual
MS. KHADIJAH OLAYEMI ABIOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
23 BRADSTON ST, BOSTON, MA 02118-2703
(617) 318-6480
Mailing address
23 BRADSTON ST, BOSTON, MA 02118-2703
(617) 318-6480
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN92284
MA
Other
Enumeration date
04/15/2021
Last updated
04/15/2021
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