Individual
MISS ADEBISI MODUPE ORIJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
290 N WAYTE LN, FRESNO, CA 93701-2124
(559) 459-5721
Mailing address
2625 E DIVISADERO ST, FRESNO, CA 93721-1431
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NPF22919
CA
363LA2200X
Adult Health Nurse Practitioner
NPF22919
CA
Other
Enumeration date
03/26/2013
Last updated
01/03/2022
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