Taye Tope Ikotun SR.

NPI #1336611128 in Pawtucket, Rhode Island

Provider Information

NPI Number: 1336611128
Entity Type: Individual
Name: Taye Tope Ikotun SR.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Driver
Enumeration Date: Dec 18, 2018
Last Updated: Dec 18, 2018

Practice Location

Address: 15 NORTON ST
City: Pawtucket
State: Rhode Island
ZIP Code: 02860-4343
Phone: (401) 288-8172

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Driver	172A00000X	Primary

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