DR. Bantale Oluremi Ayisire
NPI #1538969282 in Winnetka, California
Provider Information
- NPI Number
- 1538969282
- Entity Type
- Individual
- Name
- DR. Bantale Oluremi Ayisire
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner - Psychiatric/Mental Health
- Enumeration Date
- Mar 13, 2025
- Last Updated
- Mar 13, 2025
Practice Location
- Address
- 20623 GREEN ASH LN
- City
- Winnetka
- State
- California
- ZIP Code
- 91306-1557
- Phone
- (909) 965-9961
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health |
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