| NPI | 1003005661 |
|---|---|
| Former Name | ADEFOLAJU OLUFUWA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine (Licence: VA 0101262019) |
| Additional Taxonomies | 207RA0401X Internal Medicine, Addiction Medicine (Licence: MD D0084292) |
| 208D00000X General Practice (Licence: DE C1-0008405) | |
| 207RA0401X Internal Medicine, Addiction Medicine (Licence: DC MD038372) | |
| 261Q00000X Clinic/Center (Licence: PA MD430487) | |
| 261Q00000X Clinic/Center (Licence: DC MD 038372) | |
| 261QU0200X Clinic/Center, Urgent Care (Licence: DC MD 038372) | |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: DC MD038372) | |
| Enumeration Date | 2007-10-19 |
| Last Update Date | 2023-10-27 |