DEISHA DASHANE HAYE-TINUOLAJI

FORT WAYNE, IN
NPI1295559060
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: IN  28242205A)
Additional Taxonomies163W00000X Registered Nurse
(Licence: IN  28242205A)
Enumeration Date2024-11-08
Last Update Date2024-12-23
Business Address
DEISHA DASHANE HAYE-TINUOLAJI
7950 W JEFFERSON BLVD
FORT WAYNE, IN 46804-4140
Phone number: 260-435-7302
Mailing Address
DEISHA DASHANE HAYE-TINUOLAJI
7950 W JEFFERSON BLVD
FORT WAYNE, IN 46804-4140
Phone number: 260-435-7302