LATEEFAT TIWALADE ADELE

ROSEVILLE, CA
NPI1053175323
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CA  95028992)
Enumeration Date2024-02-07
Last Update Date2024-09-23
Business Address
LATEEFAT TIWALADE ADELE MSN, PMHNP
1098 MELODY LN STE 102
ROSEVILLE, CA 95678-5138
Phone number: 916-277-9010
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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