Omobola Sodimu

NPI 1104096742 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1104096742
Gender Female
Enumeration Date 03/11/2008
Last Updated 03/11/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
2250 HICKORY RD
STE 240
PLYMOUTH MEETING PA, 19462-1047, US
Phone (800) 879-4471
Fax
Business Location
4412 BURKES PROMISE DR
BOWIE MD, 20720-4697, US
Phone
Fax
Toxanomy
Taxonomy Code 164W00000X
License State Maryland
License Number LP40112
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According to our database, Omobola Sodimu NPI is 1104096742, taxonomy code is 164W00000X and license number is LP40112, license state is located at Maryland. Omobola Sodimu physically located at 2250 Hickory Rd, Plymouth Meeting PA, 19462-1047. NPI Number Omobola Sodimu has the Individual type.

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1104096742 NPI number is provided on an as is basis without warranty of any kind. 1104096742 is maintained by the National Plan & Provider Enumeration System. The contents of Omobola Sodimu are for informational purposes only.