Olubowale Fasola, LPN
NPI #1851648596 in Mount Vernon, New York
Provider Information
- NPI Number
- 1851648596
- Entity Type
- Individual
- Name
- Olubowale Fasola, LPN
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Practical Nurse
- Credential
- LPN
- Enumeration Date
- Aug 13, 2012
- Last Updated
- Jul 2, 2015
Practice Location
- Address
- 9 W PROSPECT AVE STE 310
- City
- Mount Vernon
- State
- New York
- ZIP Code
- 10550-2049
- Phone
- (914) 699-0022
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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