TAIWO ODUKOYA ODUTOLA

CARSON, CA
NPI1467178947
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: CA  95022131)
Enumeration Date2022-10-17
Last Update Date2023-12-19
Business Address
TAIWO ODUKOYA ODUTOLA OWNER
21880 ORRICK AVE
CARSON, CA 90745-3052
Phone number: 310-927-2119
Mailing Address
TAIWO ODUKOYA ODUTOLA OWNER
21880 ORRICK AVE
CARSON, CA 90745-3052
Phone number: 310-927-2119
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