Olusegun O Olumuyide LPN

NPI 1063756096 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1063756096
Gender Male
Enumeration Date 11/15/2012
Last Updated 11/15/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
2545 OLINVILLE AVE APT G
BRONX NY, 10467-7478, US
Phone (212) 786-2564
Fax
Business Location
2545 OLINVILLE AVE APT G
BRONX NY, 10467-7478, US
Phone (212) 786-2564
Fax
Toxanomy
Taxonomy Code 164W00000X
License State New York
License Number 3041081
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According to our database, Mr. Olusegun O Olumuyide LPN NPI is 1063756096, taxonomy code is 164W00000X and license number is 3041081, license state is located at New York. Olusegun O Olumuyide LPN physically located at 2545 Olinville Ave Apt G, Bronx NY, 10467-7478. NPI Number Olusegun O Olumuyide LPN has the Individual type.

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1063756096 NPI number is provided on an as is basis without warranty of any kind. 1063756096 is maintained by the National Plan & Provider Enumeration System. The contents of Olusegun O Olumuyide LPN are for informational purposes only.