OLUSEGUN O OLUMUYIDE

BRONX, NY
NPI1063756096
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  3041081)
Enumeration Date2012-11-15
Last Update Date2012-11-15
Business Address
Mr. OLUSEGUN O OLUMUYIDE LPN
2545 OLINVILLE AVE APT G
BRONX, NY 10467-7478
Phone number: 212-786-2564
Mailing Address
Mr. OLUSEGUN O OLUMUYIDE LPN
2545 OLINVILLE AVE APT G
BRONX, NY 10467-7478
Phone number: 212-786-2564