Adeshola Dirisu, LPN

NPI #1164742011 in Bay Shore, New York

Provider Information

NPI Number
1164742011
Entity Type
Individual
Name
Adeshola Dirisu, LPN
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Licensed Practical Nurse
Credential
LPN
Enumeration Date
Jun 2, 2010
Last Updated
Jun 2, 2010

Practice Location

Address
104 PINEBROOK PL
ZIP Code
11706-4457
Phone
(631) 647-3757

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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