OLAJUMOKE FASAN

JAMAICA, NY
NPI1154771822
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  276332)
Enumeration Date2016-06-14
Last Update Date2016-06-14
Business Address
-- OLAJUMOKE FASAN
12011 144TH ST
JAMAICA, NY 11436-1508
Phone number: 718-551-6838
Mailing Address
-- OLAJUMOKE FASAN
12011 144TH ST
JAMAICA, NY 11436-1508
Phone number: