AMENAWON OKUNDAYE

PROVIDENCE, RI
NPI1295301323
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: RI  LP05357)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
(Licence: RI  CLP05357)
Enumeration Date2021-05-30
Last Update Date2021-06-22
Business Address
AMENAWON OKUNDAYE MD
593 EDDY ST
PROVIDENCE, RI 02903-4923
Phone number: 401-444-5127
Mailing Address
AMENAWON OKUNDAYE MD
593 EDDY ST
PROVIDENCE, RI 02903-4923
Phone number: 401-444-5127