LATEEFAT TIWALADE ADELE

CARMICHAEL, CA
NPI1053175323
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: CA  95028992)
Enumeration Date2024-02-07
Last Update Date2024-07-01
Business Address
LATEEFAT TIWALADE ADELE MSN, PMHNP
6501 COYLE AVE
CARMICHAEL, CA 95608-0306
Phone number: 813-494-4476
Mailing Address
LATEEFAT TIWALADE ADELE MSN, PMHNP
1098 MELODY LN STE 102
ROSEVILLE, CA 95678-5138
Phone number: 916-277-9010
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