Individual
MISTURA OLASUNBO TIAMIYU
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
269 UNION ST, LYNN, MA 01901-1314
(781) 596-2502
Mailing address
76 COBURN ST, LYNN, MA 01902-1716
(781) 888-4772
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN10020525
MA
Other
Enumeration date
08/25/2025
Last updated
08/25/2025
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