OBAFEMI AKINSANYA

FORT WAYNE, IN
NPI1467155879
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: IN  28222440C)
Enumeration Date2023-03-24
Last Update Date2023-03-29
Business Address
OBAFEMI AKINSANYA
4646 W JEFFERSON BLVD
FORT WAYNE, IN 46804-6842
Phone number: 484-541-3678
Mailing Address
OBAFEMI AKINSANYA
4646 W JEFFERSON BLVD STE 100
FORT WAYNE, IN 46804-6832
Phone number: