ABIMBOLA DATONYE IKETUBOSIN

SAN MANUEL, AZ
NPI1356841514
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: AZ  221449)
Additional Taxonomies163WG0000X Registered Nurse, General Practice
(Licence: AZ  221449)
363LF0000X Nurse Practitioner, Family
(Licence: AZ  F08180855)
Enumeration Date2018-02-14
Last Update Date2025-09-25
Business Address
ABIMBOLA DATONYE IKETUBOSIN FNP
23 S MCNAB PKWY
SAN MANUEL, AZ 85631-1156
Phone number: 520-385-2234
Mailing Address
ABIMBOLA DATONYE IKETUBOSIN FNP
3815 E BELL RD
PHOENIX, AZ 85032-2122
Phone number: