MR. Fausat Adenike Adetola

NPI #1003061607 in Bronx, New York

Provider Information

NPI Number
1003061607
Entity Type
Individual
Name
MR. Fausat Adenike Adetola
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Licensed Practical Nurse
Enumeration Date
Nov 24, 2008
Last Updated
Nov 24, 2008

Practice Location

Address
40 W MOSHOLU PKWY S
Address 2
APT 30A
City
Bronx
ZIP Code
10468-1150
Phone
(347) 238-7826

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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