Individual
AJISOLA OLUSOLA IGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
383 E 162ND ST, 10A, BRONX, NY 10451-4595
(347) 854-5822
Mailing address
383 E 162ND ST, 10A, BRONX, NY 10451-4595
(347) 854-5822
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
322059-1
NY
Other
Enumeration date
06/22/2015
Last updated
06/22/2015
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